Individual provider · Type 1 NPI

Li Bao, DMD

Oral and Maxillofacial Surgery (Dentist) · Albuquerque, NM

NPI number 1730501032 Active

Practice location

475 Coors Blvd NW Ste A
Albuquerque, NM 87121-1426

Other practice locations

  • 4111 Barbara Loop SE Ste E2, Rio Rancho, NM 87124-1068 · (505) 208-0505

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X63209 (CA)
Dentist 122300000XDD4029 (NM)
General Practice Dentistry 1223G0001XDD4029 (NM)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDD4029 (NM)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1730501032

Li Bao, DMD's National Provider Identifier is 1730501032, issued on Jan 7, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Albuquerque, NM. The record was last updated on Aug 6, 2024.