Perfect Teeth - Fourth Street P.c.
NPI #1336260769 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1336260769
- Entity Type
- Organization
- Organization Name
- Perfect Teeth - Fourth Street P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5721 4TH ST NW
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87107-5302
- Phone
- (505) 345-0515
Authorized Official
- Name
- LAURIE SUMMERS
- Title
- CREDENTIALING
- Phone
- (303) 285-6098
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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