| Pino Periodontics, Llc | |
|
7007 Wyoming Blvd Ne Ste D1 Albuquerque NM 87109-3981 | |
| (505) 822-0565 | |
| (505) 821-4242 |
| Full Name | Pino Periodontics, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 7007 Wyoming Blvd Ne Ste D1, Albuquerque, New Mexico |
| Authorized Official Name and Position | Rebecca A Pino (OFFICE MANAGER) |
| Authorized Official Contact | 5058220565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pino Periodontics, Llc Po Box 94598 Albuquerque NM 87199-4598 Ph: (505) 822-0565 | Pino Periodontics, Llc 7007 Wyoming Blvd Ne Ste D1 Albuquerque NM 87109-3981 Ph: (505) 822-0565 |
| NPI Number | 1316455017 |
|---|---|
| Provider Enumeration Date | 01/16/2018 |
| Last Update Date | 01/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316455017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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