| NPI | 1326429622 |
|---|---|
| Doing Business As | ABQ MODERN DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | KELLEY HOLLINGSWORTH RYALS Owner Dentist 505-323-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |