NPI 1003168022

Cottonwood Smiles Dentistry and Orthodontics, LLC

Organisation Dentist Albuquerque, NM

Practice location

Address: 3400 New Mexico 528 NW Suite A107, Albuquerque, NM 87114
Phone: (505) 244-1111
Fax: (505) 244-1112
Mailing address: PO Box 920050, Dallas, TX 75392-0050

Authorised official

Name: Marisol King
Title: Owner Doctor
Phone: (505) 244-1111

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1003168022
Entity type: Organization
NPI issued: 15 Oct 2012
Record last updated: 7 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.