| Uptown Park Dental Practice, Llc | |
|
2100 Louisiana Blvd Ne Suite 104 Albuquerque NM 87110-5419 | |
| (505) 883-4867 | |
| (505) 883-4007 |
| Full Name | Uptown Park Dental Practice, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2100 Louisiana Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Steven Maxey (BUSINESS MANAGER) |
| Authorized Official Contact | 3037895224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uptown Park Dental Practice, Llc 2100 Louisiana Blvd Ne Suite 104 Albuquerque NM 87110-5419 Ph: (505) 883-4867 | Uptown Park Dental Practice, Llc 2100 Louisiana Blvd Ne Suite 104 Albuquerque NM 87110-5419 Ph: (505) 883-4867 |
| NPI Number | 1447427513 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 04/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447427513 | NPI | - | NPPES |
| 0973127 | Other | NM | UNITED CONCORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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