Oral And Maxillofacial Surgery Associate Of New Mexico, P.a. | |
6800 Montgomery Blvd Ne Suite A Albuquerque NM 87109-1405 | |
(505) 881-1130 | |
Not Available |
Full Name | Oral And Maxillofacial Surgery Associate Of New Mexico, P.a. |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 6800 Montgomery Blvd Ne, Albuquerque, New Mexico |
Authorized Official Name and Position | John C Mitchell (MANAGING PARTNER) |
Authorized Official Contact | 5058811130 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Oral And Maxillofacial Surgery Associate Of New Mexico, P.a. 6800 Montgomery Blvd Ne Suite A Albuquerque NM 87109-1405 Ph: (505) 881-1130 | Oral And Maxillofacial Surgery Associate Of New Mexico, P.a. 6800 Montgomery Blvd Ne Suite A Albuquerque NM 87109-1405 Ph: (505) 881-1130 |
NPI Number | 1689876963 |
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Provider Enumeration Date | 05/31/2007 |
Last Update Date | 07/08/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689876963 | NPI | - | NPPES |
89797 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 02-256180-00-3 (New Mexico) | Primary |
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