Crds

NPI #1013390087 in Albuquerque, New Mexico

Provider Information

NPI Number: 1013390087
Entity Type: Organization
Organization Name: Crds
Subpart: Yes (part of a larger organization)
Parent Organization: ALBUQUERQUE MODERN DENTISTRY
Primary Specialty: Dentist
Enumeration Date: Jul 8, 2015
Last Updated: Jul 8, 2015

Practice Location

Address: 2800 COORS BLVD NW STE A
City: Albuquerque
State: New Mexico
ZIP Code: 87120-1204
Phone: (505) 350-1166

Authorized Official

Name: DR. MICHAEL ROSS CONNER, DDS
Title: DENTIST
Phone: (575) 642-4779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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