New Mexico Professional Dental Associates, INC
NPI #1164816039 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1164816039
- Entity Type
- Organization
- Organization Name
- New Mexico Professional Dental Associates, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NEW MEXICO PROFESSIONAL DENTAL ASSOCIATES, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 27, 2015
- Last Updated
- Mar 27, 2015
Practice Location
- Address
- 5700 SAN ANTONIO DR NE
- Address 2
- SUITE A1
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87109-4128
- Phone
- (505) 273-5363
Authorized Official
- Name
- KENDRA WALKER
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-8312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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