| NPI | 1003527458 |
|---|---|
| Doing Business As | ABQ DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | JACOB ROGERS Managing Member 505-350-3786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2022-12-07 |