| Duke City Pediatric Dentistry | |
|
8220 Louisiana Blvd Ne Suite A Albuquerque NM 87113 | |
| (303) 868-6117 | |
| (505) 369-1828 |
| Full Name | Duke City Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8220 Louisiana Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Tamera Page Coffman (OWNER DENTIST) |
| Authorized Official Contact | 5054333366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duke City Pediatric Dentistry 8220 Louisiana Blvd Ne Suite A Albuquerque NM 87113 Ph: (303) 868-6117 | Duke City Pediatric Dentistry 8220 Louisiana Blvd Ne Suite A Albuquerque NM 87113 Ph: (303) 868-6117 |
| NPI Number | 1518216746 |
|---|---|
| Provider Enumeration Date | 09/04/2012 |
| Last Update Date | 09/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518216746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DD3279 (New Mexico) | Primary |
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