Bosque Smiles Dentistry, LLC
NPI #1013550094 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1013550094
- Entity Type
- Organization
- Organization Name
- Bosque Smiles Dentistry, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 23, 2019
- Last Updated
- Oct 23, 2019
Practice Location
- Address
- 5600 COORS BLVD NW STE G4
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87120-1877
- Phone
- (505) 431-9740
Authorized Official
- Name
- JAE YANG
- Title
- OWNER
- Phone
- (714) 845-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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