| C. Mahlon Fraleigh, Dds, Llc | |
|
8400 Osuna Rd Ne Ste 4-b Albuquerque NM 87111-2087 | |
| (505) 293-2644 | |
| (505) 293-2298 |
| Full Name | C. Mahlon Fraleigh, Dds, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8400 Osuna Rd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Claud Mahlon Fraleigh (OWNER) |
| Authorized Official Contact | 5052932644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C. Mahlon Fraleigh, Dds, Llc 8400 Osuna Rd Ne Ste 4-b Albuquerque NM 87111-2087 Ph: (505) 293-2644 | C. Mahlon Fraleigh, Dds, Llc 8400 Osuna Rd Ne Ste 4-b Albuquerque NM 87111-2087 Ph: (505) 293-2644 |
| NPI Number | 1558709691 |
|---|---|
| Provider Enumeration Date | 06/11/2013 |
| Last Update Date | 06/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558709691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DD2619 (New Mexico) | Primary |
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