| West Mesa Oral And Maxillofacial Surgery Pc | |
|
4801 Mcmahon Blvd Nw Ste 230 Albuquerque NM 87114-5478 | |
| (505) 792-4788 | |
| (505) 792-2533 |
| Full Name | West Mesa Oral And Maxillofacial Surgery Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4801 Mcmahon Blvd Nw Ste 230, Albuquerque, New Mexico |
| Authorized Official Name and Position | Shannon Roybal (ACCOUNTS RECEIVABLE) |
| Authorized Official Contact | 5057924788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Mesa Oral And Maxillofacial Surgery Pc 4801 Mcmahon Blvd Nw Ste 230 Albuquerque NM 87114-5478 Ph: (505) 792-4788 | West Mesa Oral And Maxillofacial Surgery Pc 4801 Mcmahon Blvd Nw Ste 230 Albuquerque NM 87114-5478 Ph: (505) 792-4788 |
| NPI Number | 1598929242 |
|---|---|
| Provider Enumeration Date | 07/11/2008 |
| Last Update Date | 07/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598929242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DD1819 (New Mexico) | Primary |
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