| Sandia Dental Care Llc | |
|
6800 Montgomery Blvd Ne Suite C Albuquerque NM 87109-1405 | |
| (505) 884-8000 | |
| (505) 884-4012 |
| Full Name | Sandia Dental Care Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6800 Montgomery Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Sarah L Kassam (OWNER) |
| Authorized Official Contact | 5058848000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandia Dental Care Llc 6800 Montgomery Blvd Ne Suite C Albuquerque NM 87109-1405 Ph: (505) 884-8000 | Sandia Dental Care Llc 6800 Montgomery Blvd Ne Suite C Albuquerque NM 87109-1405 Ph: (505) 884-8000 |
| NPI Number | 1518345552 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 05/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518345552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2810 (New Mexico) | Primary |
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