| Dental Design Studio Llc Dba Ivory Dental | |
|
5920 Whiteman Dr Nw Albuquerque NM 87120-2198 | |
| (505) 897-6889 | |
| (505) 922-1319 |
| Full Name | Dental Design Studio Llc Dba Ivory Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5920 Whiteman Dr Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Meah Washington (OFFICE MANAGER) |
| Authorized Official Contact | 5058976889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Design Studio Llc Dba Ivory Dental 5920 Whiteman Dr Nw Albuquerque NM 87120-2198 Ph: (505) 897-6889 | Dental Design Studio Llc Dba Ivory Dental 5920 Whiteman Dr Nw Albuquerque NM 87120-2198 Ph: (505) 897-6889 |
| NPI Number | 1205526530 |
|---|---|
| Provider Enumeration Date | 05/10/2023 |
| Last Update Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205526530 | NPI | - | NPPES |
| DD3583 | Other | NM | STATE DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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