Albuquerque Modern Dentistry, LLC
NPI #1487953790 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1487953790
- Entity Type
- Organization
- Organization Name
- Albuquerque Modern Dentistry, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 25, 2011
- Last Updated
- Nov 18, 2013
Practice Location
- Address
- 2800- A COORS BLVD NW
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87120-1204
- Phone
- (505) 352-1166
Authorized Official
- Name
- DR. MARIO HERREJON-RUIZ, DMD
- Title
- OWNER DOCTOR
- Phone
- (505) 352-1166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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