Family Choice Dental | |
120 98th St Nw Ste C3 Albuquerque NM 87121-9021 | |
(505) 352-5439 | |
(505) 836-7533 |
Full Name | Family Choice Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 120 98th St Nw Ste C3, Albuquerque, New Mexico |
Authorized Official Name and Position | John David Noyes (OWNER) |
Authorized Official Contact | 5053525439 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Choice Dental 120 98th St Nw Ste C3 Albuquerque NM 87121-9021 Ph: (505) 352-5439 | Family Choice Dental 120 98th St Nw Ste C3 Albuquerque NM 87121-9021 Ph: (505) 352-5439 |
NPI Number | 1083748016 |
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Provider Enumeration Date | 03/14/2007 |
Last Update Date | 07/29/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083748016 | NPI | - | NPPES |
57459568 | Medicaid | NM | |
1768244 | Other | PA | UNITED CONCORDIA GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DD2523 (New Mexico) | Primary |
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