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1447500384
CDB RIO BRAVO LLC
ALBUQUERQUE, NM
NPI
1447500384
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Entity Type
Organization
Authorized Contact
JONAH FOUTZ
Dds
505-850-0305
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: NM DD3662)
Enumeration Date
2012-09-19
Last Update Date
2012-09-19
Business Address
CDB RIO BRAVO LLC
1625 RIO BRAVO BLVD SW
ALBUQUERQUE, NM 87105-6057
Phone number: 505-850-0305
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Mailing Address
CDB RIO BRAVO LLC
7120 CALLE ALEGRIA NE
ALBUQUERQUE, NM 87113-1368
Phone number:
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