NPI 1982944245

Sandi's Smiles for Miles

Organisation Exclusive Provider Organization Albuquerque, NM

Practice location

Address: 901 Rio Grande Blvd NW 154 G, Albuquerque, NM 87104-2057
Phone: (505) 480-7200
Mailing address: 8408 Rancho Vecino CT NW, Albuquerque, NM 87120-5812

Authorised official

Name: Sandra Jean Ganshaw
Title: Owner
Phone: (505) 480-7200

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence DH3281 (NM)

Other Exclusive Provider Organization providers in New Mexico →

Registry record

NPI: 1982944245
Entity type: Organization
NPI issued: 25 Feb 2013
Record last updated: 25 Feb 2013

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.