IVORY DENTAL, LLC

ALBUQUERQUE, NM
NPI1275964587
Entity TypeOrganization
Authorized ContactBRENDON E PRESTWICH
Dentist
505-897-6889
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: NM  DD4010)
Enumeration Date2013-12-12
Last Update Date2013-12-12
Business Address
IVORY DENTAL, LLC
5920 WHITEMAN DR NW
ALBUQUERQUE, NM 87120
Phone number: 505-897-6889
Mailing Address
IVORY DENTAL, LLC
5920 WHITEMAN DR NW
ALBUQUERQUE, NM 87120-2198
Phone number: 505-897-6889
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