| Crds | |
|
2800 Coors Blvd Nw Ste A Albuquerque NM 87120-1204 | |
| (505) 350-1166 | |
| (505) 352-2805 |
| Full Name | Crds |
|---|---|
| Speciality | Dentist |
| Location | 2800 Coors Blvd Nw Ste A, Albuquerque, New Mexico |
| Authorized Official Name and Position | Michael Ross Conner (DENTIST) |
| Authorized Official Contact | 5756424779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crds 2800 Coors Blvd Nw Ste A Albuquerque NM 87120-1204 Ph: (505) 350-1166 | Crds 2800 Coors Blvd Nw Ste A Albuquerque NM 87120-1204 Ph: (505) 350-1166 |
| NPI Number | 1013390087 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 07/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013390087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DD4332 (New Mexico) | Primary |
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