Albuquerque Modern Dentistry

LBN: Albuquerque Modern Dentistry, Llc
Albuquerque Modern Dentistry is an health care organization with primary practice located at 2800- A Coors Blvd Nw , Albuquerque NM 87120-1204. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Albuquerque Modern Dentistry, Llc can be contacted via phone (505) 352-1166, or through Herrejon-Ruiz, Mario via phone (505) 352-1166.

Contact Information

Primary practice address
2800- A Coors Blvd Nw Albuquerque NM 87120-1204
Phone: (505) 352-1166
Fax: (505) 352-2805
Website:
Map and Directions
Authorized official contact:
Name: Herrejon-Ruiz, Mario Doctor of Dental Medicine (DMD)
Phone: (505) 352-1166

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1487953790
LBN Legal business name Albuquerque Modern Dentistry, Llc
DBA Doing business as Albuquerque Modern Dentistry
Authorized official Herrejon-Ruiz, Mario Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2011
Last updated Nov 18th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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