Prime Dental, L.l.c. | |
8611 Golf Course Rd Nw Albuquerque NM 87114-5775 | |
(505) 891-6101 | |
Not Available |
Full Name | Prime Dental, L.l.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 8611 Golf Course Rd Nw, Albuquerque, New Mexico |
Authorized Official Name and Position | Sun Chun Kim (PRESIDENT) |
Authorized Official Contact | 4046106816 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prime Dental, L.l.c. 8611 Golf Course Rd Nw Albuquerque NM 87114-5775 Ph: (505) 891-6101 | Prime Dental, L.l.c. 8611 Golf Course Rd Nw Albuquerque NM 87114-5775 Ph: (505) 891-6101 |
NPI Number | 1962711705 |
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Provider Enumeration Date | 09/28/2010 |
Last Update Date | 09/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962711705 | NPI | - | NPPES |
DD3398 | Other | NM | NEW MEXICO BOARD OF DENTAL CARE |
DN013943 | Other | GA | GEORGIA BOARD OF DENTISTRY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DD3398 (New Mexico) | Primary |
1223G0001X | Dentist - General Practice | DN013943 (Georgia) | Secondary |
Cottonwood Smiles Dentistry And Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 New Mexico 528 Nw Suite A107, Albuquerque, NM 87114 Phone: 505-244-1111 Fax: 505-244-1112 | |
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Sunshine Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10411 Lagrima De Oro Rd Ne, Albuquerque, NM 87111 Phone: 505-298-0456 Fax: 505-298-4467 | |
Napa Family Dental Dental Clinic Medicare: Medicare Enrolled Practice Location: 10820 Comanche Rd Ne Ste D, Albuquerque, NM 87111 Phone: 505-323-7700 | |
Nm Dental Implants Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3520 Montgomery Blvd Ne Ste B, Albuquerque, NM 87107 Phone: 505-705-8808 Fax: 505-705-8905 | |
Grant Davis Gribble Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3610 Calle Cuervo Nw, Albuquerque, NM 87114 Phone: 505-898-1976 Fax: 505-792-0708 | |
Timothy L Gutierrez Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1513 Carlisle Blvd Ne, Albuquerque, NM 87110 Phone: 505-881-7373 Fax: 505-881-5096 |