Fede Family Dentistry Llc

NPI 1750714911 - Dentist - 1223G0001X

NPI Details
NPI 1750714911
Enumeration Date 08/12/2013
Last Updated 08/12/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CASSIE CASSIE
Position OWNER/DENTIST
Phone (503) 459-6851
Fax
Practice Location
6800 MONTGOMERY BLVD NE
J
ALBUQUERQUE NM, 87109-1405, US
Phone (503) 459-6851
Fax
Business Location
6800 MONTGOMERY BLVD NE
J
ALBUQUERQUE NM, 87109-1405, US
Phone (503) 459-6851
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State New Mexico
License Number DD3185
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According to our database, Fede Family Dentistry Llc NPI is 1750714911, taxonomy code is 1223G0001X and license number is DD3185, license state is located at New Mexico. Fede Family Dentistry Llc physically located at 6800 Montgomery Blvd Ne, Albuquerque NM, 87109-1405. NPI Number 1033115704 has the healthcare provider type.

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1750714911 NPI number is provided on an as is basis without warranty of any kind. 1750714911 is maintained by the National Plan & Provider Enumeration System. The contents of Fede Family Dentistry Llc are for informational purposes only.