| Route 66 Children's Dentistry | |
|
10221 Central Ave Ne Ste 103 Albuquerque NM 87123 | |
| (505) 232-5437 | |
| (505) 254-7649 |
| Full Name | Route 66 Children's Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 10221 Central Ave Ne Ste 103, Albuquerque, New Mexico |
| Authorized Official Name and Position | Ebonie Gonzales (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5058503769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Route 66 Children's Dentistry 325 S Higley Rd #130 Gilbert AZ 85296 Ph: (505) 850-3769 | Route 66 Children's Dentistry 10221 Central Ave Ne Ste 103 Albuquerque NM 87123 Ph: (505) 232-5437 |
| NPI Number | 1477959013 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 05/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477959013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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› Verified 5 days ago
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