| New Mexico Center For Craniofacial Pain,llc | |
|
7111 Prospect Pl Ne Suite D-301 Albuquerque NM 87110-4309 | |
| (505) 883-6446 | |
| Not Available |
| Full Name | New Mexico Center For Craniofacial Pain,llc |
|---|---|
| Speciality | Dentist |
| Location | 7111 Prospect Pl Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Ben J. Brabb (MANAGER) |
| Authorized Official Contact | 5058836446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mexico Center For Craniofacial Pain,llc 7111 Prospect Pl Ne Suite D-301 Albuquerque NM 87110-4309 Ph: (505) 883-6446 | New Mexico Center For Craniofacial Pain,llc 7111 Prospect Pl Ne Suite D-301 Albuquerque NM 87110-4309 Ph: (505) 883-6446 |
| NPI Number | 1396865267 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396865267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D664 (New Mexico) | Primary |
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