| Rawson Pediatric Dental Group | |
|
4620 Jefferson Ln Ne Ste C Albuquerque NM 87109-2149 | |
| (505) 888-3520 | |
| Not Available |
| Full Name | Rawson Pediatric Dental Group |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4620 Jefferson Ln Ne Ste C, Albuquerque, New Mexico |
| Authorized Official Name and Position | Audrey Mae Navarro Rawson (PEDIATRIC DENTIST, OWNER) |
| Authorized Official Contact | 5058883520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rawson Pediatric Dental Group 4620 Jefferson Ln Ne Ste C Albuquerque NM 87109-2149 Ph: (505) 888-3520 | Rawson Pediatric Dental Group 4620 Jefferson Ln Ne Ste C Albuquerque NM 87109-2149 Ph: (505) 888-3520 |
| NPI Number | 1558994582 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 02/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558994582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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