Uptown Park Dental Practice, Llc

NPI 1447427513 - Clinic/Center - 261QD0000X

NPI Details
NPI 1447427513
Enumeration Date 05/08/2008
Last Updated 01/20/2016
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name LYNN LYNN
Position REGIONAL MANAGER
Phone (505) 883-4867
Fax (505) 883-4007
Practice Location
2100 LOUISIANA BLVD NE
SUITE 104
ALBUQUERQUE NM, 87110-5419, US
Phone (505) 883-4867
Fax (505) 883-4007
Business Location
2100 LOUISIANA BLVD NE
SUITE 104
ALBUQUERQUE NM, 87110-5419, US
Phone (505) 883-4867
Fax (505) 883-4007
Toxanomy
Taxonomy Code 261QD0000X
License State
License Number
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According to our database, Uptown Park Dental Practice, Llc NPI is 1447427513, taxonomy code is 261QD0000X Uptown Park Dental Practice, Llc physically located at 2100 Louisiana Blvd Ne, Albuquerque NM, 87110-5419. NPI Number 1033115704 has the healthcare provider type.

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1447427513 NPI number is provided on an as is basis without warranty of any kind. 1447427513 is maintained by the National Plan & Provider Enumeration System. The contents of Uptown Park Dental Practice, Llc are for informational purposes only.