Cherryhills Dental | |
7007 Wyoming Blvd Ne Ste A4 Albuquerque NM 87109-6941 | |
(505) 821-1433 | |
(505) 821-1422 |
Full Name | Cherryhills Dental |
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Speciality | Dentist - General Practice |
Location | 7007 Wyoming Blvd Ne Ste A4, Albuquerque, New Mexico |
Authorized Official Name and Position | Charles Tilson (OWNER) |
Authorized Official Contact | 5058211433 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cherryhills Dental 7007 Wyoming Blvd Ne Ste A4 Albuquerque NM 87109-6941 Ph: (505) 821-1433 | Cherryhills Dental 7007 Wyoming Blvd Ne Ste A4 Albuquerque NM 87109-6941 Ph: (505) 821-1433 |
NPI Number | 1336449636 |
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Provider Enumeration Date | 11/02/2010 |
Last Update Date | 11/02/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336449636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DD1611 (New Mexico) | Primary |
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