National Provider Identifier Database

NM CENTER FOR COSMETIC AND FAMILY DENTISTRY
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

NM CENTER FOR COSMETIC AND FAMILY DENTISTRY
201 WYOMING BLVD NE
ALBUQUERQUE, NM87123-1029
Phone: 505-266-5881
Fax: 505-266-7175
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for NM CENTER FOR COSMETIC AND FAMILY DENTISTRY

NPI Number 1023474749
Legal business name
LBN
NM CENTER FOR COSMETIC AND FAMILY DENTISTRY
Authorized official WILLIAM GARDNER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/11/2016
Last updated 01/11/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: DD-1867

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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