New Mexico Professional Dental Associates, INC
NPI #1447645726 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1447645726
- Entity Type
- Organization
- Organization Name
- New Mexico Professional Dental Associates, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NEW MEXICO PROFESSIONAL DENTAL ASSOCIATES, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 2, 2015
- Last Updated
- Apr 2, 2015
Practice Location
- Address
- 9384 VALLEY VIEW DR NW STE 200
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87114-4403
- Phone
- (505) 332-9198
Authorized Official
- Name
- KIM WILSON
- Title
- CRED SUPERIVSOR
- Phone
- (217) 540-5170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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