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Contact Information

BOSQUE SMILES DENTISTRY, LLC
5600 COORS BLVD NW STE G4
ALBUQUERQUE, NM87120-1877
 Phone: 505-431-9740
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BOSQUE SMILES DENTISTRY, LLC

NPI # 1013550094
LBN Legal business name BOSQUE SMILES DENTISTRY, LLC
Authorized official JAE YANG - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2019
Last updated 10/23/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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