| Dental Tribe Ne Abq Llc | |
|
3520 Montgomery Blvd Ne Albuquerque NM 87107-4846 | |
| (505) 888-2606 | |
| Not Available |
| Full Name | Dental Tribe Ne Abq Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3520 Montgomery Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Taylor Louise Rodas (OFFICE MANAGER) |
| Authorized Official Contact | 7609870101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Tribe Ne Abq Llc 3520 Montgomery Blvd Ne Albuquerque NM 87107-4846 Ph: (505) 888-2606 | Dental Tribe Ne Abq Llc 3520 Montgomery Blvd Ne Albuquerque NM 87107-4846 Ph: (505) 888-2606 |
| NPI Number | 1578148474 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 03/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578148474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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