NPI 1336297712

Wilson Radiographic Center of Albuquerque, INC

Organisation Dental Laboratory Albuquerque, NM

Practice location

Address: 3901 Louisiana Blvd NE Suite E, Albuquerque, NM 87110-1577
Phone: (505) 883-5066
Fax: (505) 888-9466

Authorised official

Name: Debra Burns
Title: Owner
Phone: (505) 883-5066

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X Licence FA0000071 (NM)

Other Dental Laboratory providers in New Mexico →

Registry record

NPI: 1336297712
Entity type: Organization
NPI issued: 8 Jan 2007
Record last updated: 22 Aug 2020

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.