Dentamax Dental Services LLC

NPI #1356722078 in Albuquerque, New Mexico

Provider Information

NPI Number
1356722078
Entity Type
Organization
Organization Name
Dentamax Dental Services LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 18, 2015
Last Updated
Jun 18, 2015

Practice Location

Address
4421 IRVING BLVD NW
Address 2
SUITE B
ZIP Code
87114-5919
Phone
(505) 821-6910

Authorized Official

Name
DR. BOYD EMMITT NEWSOME, DMD
Title
CEO/OWNER
Phone
(480) 250-8597

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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