OPEN WIDE DENTISTRY LLC

ALBUQUERQUE, NM
NPI1255581393
Entity TypeOrganization
Authorized ContactSANDRA LEE KEANNA
Owner
505-292-8533
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2008-09-25
Last Update Date2008-09-25
Business Address
OPEN WIDE DENTISTRY LLC
1100 LEAD AVE SE
ALBUQUERQUE, NM 87106
Phone number: 505-292-8533
Mailing Address
OPEN WIDE DENTISTRY LLC
1100 LEAD AVE SE
ALBUQUERQUE, NM 87106-5215
Phone number: 505-292-8533
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