| Albuquerque I.h.s. Dental Clinic | |
|
9169 Coors Road, Nw Albuquerque NM 87120 | |
| (505) 346-2306 | |
| Not Available |
| Full Name | Albuquerque I.h.s. Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9169 Coors Road, Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Maureen R. Cordova (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5059224248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Albuquerque I.h.s. Dental Clinic P.o. Box 67830 Albuquerque NM 87193 Ph: (505) 346-2306 | Albuquerque I.h.s. Dental Clinic 9169 Coors Road, Nw Albuquerque NM 87120 Ph: (505) 346-2306 |
| NPI Number | 1497849186 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497849186 | NPI | - | NPPES |
| 846024 | Medicaid | AZ | |
| 89730 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Cottonwood Smiles Dentistry And Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 New Mexico 528 Nw Suite A107, Albuquerque, NM 87114 Phone: 505-244-1111 Fax: 505-244-1112 | |
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Nm Dental Implants Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3520 Montgomery Blvd Ne Ste B, Albuquerque, NM 87107 Phone: 505-705-8808 Fax: 505-705-8905 | |
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