Cottonwood Mall Dental Practice, LLC
NPI #1043487119 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1043487119
- Entity Type
- Organization
- Organization Name
- Cottonwood Mall Dental Practice, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 8, 2008
- Last Updated
- Apr 30, 2019
Practice Location
- Address
- 10000 COORS BYP NW
- Address 2
- # G-218
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87114-4040
- Phone
- (505) 242-4867
Authorized Official
- Name
- DR. WILLIAM A. SAPP, DDS
- Title
- PRESIDENT
- Phone
- (505) 242-4867
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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