| Creating Smiles For Sucess | |
|
8300 San Pedro Dr Ne Albuquerque NM 87113-1703 | |
| (505) 323-3630 | |
| (505) 323-1574 |
| Full Name | Creating Smiles For Sucess |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 8300 San Pedro Dr Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Herlinda Quintana (CONSULTANT) |
| Authorized Official Contact | 5052921582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Smiles For Sucess 8300 San Pedro Dr Ne Albuquerque NM 87113-1703 Ph: (505) 323-3630 | Creating Smiles For Sucess 8300 San Pedro Dr Ne Albuquerque NM 87113-1703 Ph: (505) 323-3630 |
| NPI Number | 1497828115 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497828115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2322 (New Mexico) | Primary |
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