| Nouri Family Dentistry, Llc | |
|
6400 Central Ave Sw Albuquerque NM 87105-2033 | |
| (480) 296-3351 | |
| Not Available |
| Full Name | Nouri Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6400 Central Ave Sw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Alexander Nouri (PARTNER) |
| Authorized Official Contact | 4802963351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nouri Family Dentistry, Llc 7704 Florence Ave Ne Albuquerque NM 87122-3769 Ph: (480) 296-3351 | Nouri Family Dentistry, Llc 6400 Central Ave Sw Albuquerque NM 87105-2033 Ph: (480) 296-3351 |
| NPI Number | 1427719244 |
|---|---|
| Provider Enumeration Date | 01/04/2022 |
| Last Update Date | 01/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427719244 | NPI | - | NPPES |
| 09756736 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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