Open Wide Dentistry Llc

NPI 1255581393 - Clinic/Center - 261QD0000X

NPI Details
NPI 1255581393
Enumeration Date 09/25/2008
Last Updated 09/25/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SANDRA LEE SANDRA
Position OWNER
Phone (505) 292-8533
Fax (505) 292-2712
Practice Location
1100 LEAD AVE SE
ALBUQUERQUE NM, 87106, US
Phone (505) 292-8533
Fax (505) 292-2712
Business Location
1100 LEAD AVE SE
ALBUQUERQUE NM, 87106-5215, US
Phone (505) 292-8533
Fax (505) 292-2712
Toxanomy
Taxonomy Code 261QD0000X
License State
License Number
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According to our database, Open Wide Dentistry Llc NPI is 1255581393, taxonomy code is 261QD0000X Open Wide Dentistry Llc physically located at 1100 Lead Ave Se, Albuquerque NM, 87106. NPI Number 1033115704 has the healthcare provider type.

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1255581393 NPI number is provided on an as is basis without warranty of any kind. 1255581393 is maintained by the National Plan & Provider Enumeration System. The contents of Open Wide Dentistry Llc are for informational purposes only.