| Padilla Dental Llc | |
|
3809 Eubank Blvd. Ne Albuquerque NM 87111 | |
| (505) 292-2323 | |
| (855) 287-5696 |
| Full Name | Padilla Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3809 Eubank Blvd. Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Stephanie Padilla (CO-MANAGING PARTNER) |
| Authorized Official Contact | 5052922323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Padilla Dental Llc 3809 Eubank Blvd. Ne Albuquerque NM 87111 Ph: (505) 292-2323 | Padilla Dental Llc 3809 Eubank Blvd. Ne Albuquerque NM 87111 Ph: (505) 292-2323 |
| NPI Number | 1215367941 |
|---|---|
| Provider Enumeration Date | 11/15/2013 |
| Last Update Date | 01/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215367941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2616 (New Mexico) | Primary |
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