Encino Dental Care, Inc.
NPI #1225058761 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1225058761
- Entity Type
- Organization
- Organization Name
- Encino Dental Care, Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 717 ENCINO PLACE NE SUITE 7
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87102
- Phone
- (505) 843-9636
Authorized Official
- Name
- PHILLIP D RICHARDSON, RDH, DOM
- Title
- OWNER / PRESIDENT
- Phone
- (505) 843-9636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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