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1255581393
OPEN WIDE DENTISTRY LLC
ALBUQUERQUE, NM
NPI
1255581393
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Entity Type
Organization
Authorized Contact
SANDRA LEE KEANNA
Owner
505-292-8533
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2008-09-25
Last Update Date
2008-09-25
Business Address
OPEN WIDE DENTISTRY LLC
1100 LEAD AVE SE
ALBUQUERQUE, NM 87106
Phone number: 505-292-8533
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Mailing Address
OPEN WIDE DENTISTRY LLC
1100 LEAD AVE SE
ALBUQUERQUE, NM 87106-5215
Phone number: 505-292-8533
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