Bosque Family and Cosmetic Dentistry LLC

NPI #1215013610 in Bosque Farms, New Mexico

Provider Information

NPI Number: 1215013610
Entity Type: Organization
Organization Name: Bosque Family and Cosmetic Dentistry LLC
Primary Specialty: Dentist
Enumeration Date: Oct 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2280 BOSQUE FARMS BLVD
City: Bosque Farms
State: New Mexico
ZIP Code: 87068-9334
Phone: (505) 869-6500

Authorized Official

Name: MRS. APRIL RENEE DANIELS
Title: MANAGER
Phone: (505) 869-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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