Aida New Mexico Clinics
NPI #1215446430 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1215446430
- Entity Type
- Organization
- Organization Name
- Aida New Mexico Clinics
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 20, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 2901 JUAN TABO BLVD NE STE 10
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87112-1885
- Phone
- (505) 395-6240
Authorized Official
- Name
- DR. JONAH L FOUTZ, DDS
- Title
- OWNER
- Phone
- (505) 395-6240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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