NPI 1013390087

Crds

Organisation Dentist Albuquerque, NM

Practice location

Address: 2800 Coors Blvd NW STE a, Albuquerque, NM 87120-1204
Phone: (505) 350-1166
Fax: (505) 352-2805

Authorised official

Name: Michael Ross Conner
Title: Dentist
Phone: (575) 642-4779

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DD4332 (NM)

Other Dentist providers in New Mexico →

Registry record

NPI: 1013390087
Entity type: Organization
NPI issued: 8 Jul 2015
Record last updated: 8 Jul 2015

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.