NPI 1023474749

Nm Center for Cosmetic and Family Dentistry

Organisation Specialist Albuquerque, NM

Practice location

Address: 201 Wyoming Blvd NE, Albuquerque, NM 87123-1029
Phone: (505) 266-5881
Fax: (505) 266-7175

Authorised official

Name: William Chon Gardner
Title: President
Phone: (505) 266-5881

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence DD-1867 (NM)

Other Specialist providers in New Mexico →

Registry record

NPI: 1023474749
Entity type: Organization
NPI issued: 11 Jan 2016
Record last updated: 11 Jan 2016

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.