| Vasilios Bill J Pavlakos Dds Pc | |
|
3904 Juan Tabo Ne Albuquerque NM 87111 | |
| (505) 292-7526 | |
| (505) 292-1058 |
| Full Name | Vasilios Bill J Pavlakos Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 3904 Juan Tabo Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Vasilios James Pavlakos (DOCTOR OWNER) |
| Authorized Official Contact | 5052927526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vasilios Bill J Pavlakos Dds Pc 3904 Juan Tabo Ne Albuquerque NM 87111 Ph: (505) 292-7526 | Vasilios Bill J Pavlakos Dds Pc 3904 Juan Tabo Ne Albuquerque NM 87111 Ph: (505) 292-7526 |
| NPI Number | 1184790115 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184790115 | NPI | - | NPPES |
| 681068 | Other | NM | UNITED CONCORDIA PROVIDER |
| 008676 | Other | NM | BCBS PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1448 (New Mexico) | Primary |
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