Bear Canyon Family Dentistry LLC
NPI #1265860936 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1265860936
- Entity Type
- Organization
- Organization Name
- Bear Canyon Family Dentistry LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 16, 2013
- Last Updated
- Oct 16, 2013
Practice Location
- Address
- 7007 WYOMING BLVD NE STE B2
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87109-3982
- Phone
- (505) 821-1430
Authorized Official
- Name
- DR. CARISSA J GREINEL-BLUM, DDS
- Title
- OWNER
- Phone
- (505) 821-1430
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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