Ohana Orthodontics Llc | |
4620 Jefferson Ln Ne Ste C Albuquerque NM 87109-2149 | |
(505) 888-3520 | |
Not Available |
Full Name | Ohana Orthodontics Llc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 4620 Jefferson Ln Ne Ste C, Albuquerque, New Mexico |
Authorized Official Name and Position | James C Rawson (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 5058883520 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ohana Orthodontics Llc 4620 Jefferson Ln Ne Ste C Albuquerque NM 87109-2149 Ph: (505) 888-3520 | Ohana Orthodontics Llc 4620 Jefferson Ln Ne Ste C Albuquerque NM 87109-2149 Ph: (505) 888-3520 |
NPI Number | 1386243640 |
---|---|
Provider Enumeration Date | 10/19/2020 |
Last Update Date | 10/19/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386243640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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