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1275964587
IVORY DENTAL, LLC
ALBUQUERQUE, NM
NPI
1275964587
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Entity Type
Organization
Authorized Contact
BRENDON E PRESTWICH
Dentist
505-897-6889
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NM DD4010)
Enumeration Date
2013-12-12
Last Update Date
2013-12-12
Business Address
IVORY DENTAL, LLC
5920 WHITEMAN DR NW
ALBUQUERQUE, NM 87120
Phone number: 505-897-6889
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Mailing Address
IVORY DENTAL, LLC
5920 WHITEMAN DR NW
ALBUQUERQUE, NM 87120-2198
Phone number: 505-897-6889
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