| NPI | 1558753236 |
|---|---|
| Doing Business As | ALBUQUERQUE DENTIST OFFICE, LLC |
| Entity Type | Organization |
| Authorized Contact | KELLEY HOLLINGSWORTH RYALS Owner Doctor 505-918-9189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |