| New Mexico Dentistry Prada, Pllc | |
|
6211 4th St Nw Ste 1 Albuquerque NM 87107-5700 | |
| (702) 291-2031 | |
| (702) 984-7566 |
| Full Name | New Mexico Dentistry Prada, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 6211 4th St Nw Ste 1, Albuquerque, New Mexico |
| Authorized Official Name and Position | April Thacker (MANAGER OF PAYER RELATIONS) |
| Authorized Official Contact | 7022912031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mexico Dentistry Prada, Pllc 2250 S Rancho Dr Ste 205 Las Vegas NV 89102-4456 Ph: (702) 291-2031 | New Mexico Dentistry Prada, Pllc 6211 4th St Nw Ste 1 Albuquerque NM 87107-5700 Ph: (702) 291-2031 |
| NPI Number | 1376215731 |
|---|---|
| Provider Enumeration Date | 10/04/2021 |
| Last Update Date | 10/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376215731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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