Napa Family Dental | |
10820 Comanche Rd Ne Ste D Albuquerque NM 87111-3983 | |
(505) 323-7700 | |
Not Available |
Full Name | Napa Family Dental |
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Speciality | Dentist |
Location | 10820 Comanche Rd Ne Ste D, Albuquerque, New Mexico |
Authorized Official Name and Position | Kartik Antani (CEO) |
Authorized Official Contact | 8485655070 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Napa Family Dental 10820 Comanche Rd Ne Ste D Albuquerque NM 87111-3983 Ph: (505) 323-7700 | Napa Family Dental 10820 Comanche Rd Ne Ste D Albuquerque NM 87111-3983 Ph: (505) 323-7700 |
NPI Number | 1003300393 |
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Provider Enumeration Date | 06/19/2018 |
Last Update Date | 06/18/2023 |
Medicare PECOS PAC ID | 3779943519 |
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Medicare Enrollment ID | O20230712002348 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003300393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
Provider Name | Youngchoon Fischer Hahm |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1265634273 PECOS PAC ID: 1658730593 Enrollment ID: I20230710002631 |
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