| NPI | 1780957969 |
|---|---|
| Doing Business As | ALBUQUERQUE MODERN DENTISTS |
| Entity Type | Organization |
| Authorized Contact | KATIE L MCCANN Owner 505-872-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2014-08-05 |