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Contact Information

ADVANCED ENDODONTICS
7520 MONTGOMERY BLVD
E1
ALBUQUERQUE, NM87109
 Phone: 505-797-1212
 Fax: 505-823-1831
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ADVANCED ENDODONTICS · (Female)

NPI # 1063493427
Status Active
Credentials
Entity Individual
Enumeration date 11/10/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # DD1759
  • NM License # DD1868
  • NM Medicaid 004283
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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