Kid's Choice Dental, Inc

NPI 1083748016 - Dentist - 1223G0001X

NPI Details
NPI 1083748016
Enumeration Date 03/14/2007
Last Updated 11/24/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHN DAVID JOHN
Position OWNER
Phone (505) 821-5437
Fax (505) 821-8041
Practice Location
6211 4TH ST NW STE 13
ALBUQUERQUE NM, 87107-5762, US
Phone (505) 821-5437
Fax (505) 821-8041
Business Location
6211 4TH ST NW STE 13
ALBUQUERQUE NM, 87107-5762, US
Phone (505) 821-5437
Fax (505) 821-8041
Toxanomy
Taxonomy Code 1223G0001X
License State New Mexico
License Number DD2523
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According to our database, Kid's Choice Dental, Inc NPI is 1083748016, taxonomy code is 1223G0001X and license number is DD2523, license state is located at New Mexico. Kid's Choice Dental, Inc physically located at 6211 4th St Nw Ste 13, Albuquerque NM, 87107-5762. NPI Number 1033115704 has the healthcare provider type.

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1083748016 NPI number is provided on an as is basis without warranty of any kind. 1083748016 is maintained by the National Plan & Provider Enumeration System. The contents of Kid's Choice Dental, Inc are for informational purposes only.