| New Mexico Endodontic Specialists, Pc | |
|
10151 Montgomery Blvd Ne Ste 2b Albuquerque NM 87111-3664 | |
| (505) 830-3636 | |
| (505) 830-2305 |
| Full Name | New Mexico Endodontic Specialists, Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 10151 Montgomery Blvd Ne Ste 2b, Albuquerque, New Mexico |
| Authorized Official Name and Position | Stephen Jenkins (PRESIDENT) |
| Authorized Official Contact | 5058303636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mexico Endodontic Specialists, Pc 10151 Montgomery Blvd Ne Ste 2b Albuquerque NM 87111-3664 Ph: (505) 830-3636 | New Mexico Endodontic Specialists, Pc 10151 Montgomery Blvd Ne Ste 2b Albuquerque NM 87111-3664 Ph: (505) 830-3636 |
| NPI Number | 1760671705 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 10/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760671705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 1137 (New Mexico) | Secondary |
| 1223E0200X | Dentist - Endodontics | 2173 (New Mexico) | Primary |
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