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Contact Information

LISA M BRUNACINI, DDS
2001 CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM87105-4592
 Phone: 505-873-7400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for LISA M BRUNACINI · (Female)

NPI Number 1841264462
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NM License # DD1911
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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