Organization · Type 2 NPI

Cottonwood Mall Dental Practice, LLC

Dental Clinic/Center · Albuquerque, NM

NPI number 1043487119 Active

Practice location

10000 Coors Byp NW, # G-218
Albuquerque, NM 87114-4040

Call (505) 242-4867 Map

Fax (505) 890-2883

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

14 other providers at this address

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About NPI 1043487119

Cottonwood Mall Dental Practice, LLC's National Provider Identifier is 1043487119, issued on May 8, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Albuquerque, NM. The record was last updated on Apr 30, 2019.