| Participa, Inc. Dental Services | |
|
2434 Valencia Dr Ne Albuquerque NM 87110-4013 | |
| (800) 886-6751 | |
| (800) 886-6751 |
| Full Name | Participa, Inc. Dental Services |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 2434 Valencia Dr Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Janet T Bryant (PRESIDENT) |
| Authorized Official Contact | 8008866751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Participa, Inc. Dental Services 2434 Valencia Dr Ne Albuquerque NM 87110-4013 Ph: (800) 886-6751 | Participa, Inc. Dental Services 2434 Valencia Dr Ne Albuquerque NM 87110-4013 Ph: (800) 886-6751 |
| NPI Number | 1134289838 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 07/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134289838 | NPI | - | NPPES |
| 73799 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | DD1432 (New Mexico) | Primary |
| 1223D0001X | Dentist - Dental Public Health | DD629 (New Mexico) | Secondary |
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