Hero Dental Of West Albuquerque Pc | |
4208 Central Ave Sw Ste G Albuquerque NM 87105-1695 | |
(719) 576-1850 | |
Not Available |
Full Name | Hero Dental Of West Albuquerque Pc |
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Speciality | Dentist |
Location | 4208 Central Ave Sw Ste G, Albuquerque, New Mexico |
Authorized Official Name and Position | Shaun Urbanozo (CREDENTIALING MANAGER) |
Authorized Official Contact | 7193232362 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hero Dental Of West Albuquerque Pc 2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 Ph: (719) 576-1850 | Hero Dental Of West Albuquerque Pc 4208 Central Ave Sw Ste G Albuquerque NM 87105-1695 Ph: (719) 576-1850 |
NPI Number | 1578198917 |
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Provider Enumeration Date | 03/05/2020 |
Last Update Date | 03/05/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578198917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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