Robert C Supple Dmd

NPI #1053780759 in Albuquerque, New Mexico

Provider Information

NPI Number
1053780759
Entity Type
Organization
Organization Name
Robert C Supple Dmd
Primary Specialty
Dentist
Enumeration Date
Sep 23, 2015
Last Updated
Sep 23, 2015

Practice Location

Address
8401 OSUNA RD NE STE C
ZIP Code
87111-2074
Phone
(505) 294-8869

Authorized Official

Name
SUZY PRICE
Title
OFFICE MANAGER
Phone
(505) 294-8869

Specialties & Taxonomy Codes

Specialty
Dentist

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