Abq Uptown Dentists LLC
Dentist, General Practice in Albuquerque, NM. Organization (NPI-2).
NPI number1083172522
StatusActive
Last updated in NPPESJan 7, 2020
Details
- NPI
- 1083172522
- Entity type
- Organization (NPI-2)
- Legal business name
- Abq Uptown Dentists LLC
- Organization subpart
- No
- Enumeration date
- Mar 4, 2019
- Certification date
- Jan 7, 2020
- Last updated
- Jan 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
7127 Prospect Pl NeAlbuquerque, NM 87110-4313
Phone 505-881-4365 · Fax 505-214-6905
Mailing address
7127 Prospect Pl NeAlbuquerque, NM 87110-4313
Phone 505-881-4365 · Fax 505-214-6905
Authorized official
Gaylina Reachi
Owner/Dentist
5053016688
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