National Provider Identifier Database

WILSON RADIOGRAPHIC CENTER OF ALBUQUERQUE INC
Dental Laboratory

A commercial laboratory specializing in the construction of dental appliances that conform to a dentist?s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.


Contact Information

WILSON RADIOGRAPHIC CENTER OF ALBUQUERQUE, INC
3901 LOUISIANA BLVD NE
SUITE E
ALBUQUERQUE, NM87110-1577
Phone: 505-883-5066
Fax: 505-888-9466
Website:
Specialty Taxonomy Code
* Dental Laboratory 292200000X

* Indicates primary specialty

NPI Profile & details for WILSON RADIOGRAPHIC CENTER OF ALBUQUERQUE, INC

NPI Number 1336297712
Legal business name
LBN
WILSON RADIOGRAPHIC CENTER OF ALBUQUERQUE, INC
Authorized official DEBRA BURNS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/08/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: FA0000071

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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