Bella Smiles Inc | |
9204 Menaul Blvd Ne Suite 3 Albuquerque NM 87112-2256 | |
(505) 299-6112 | |
(505) 299-7718 |
Full Name | Bella Smiles Inc |
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Speciality | Dentist - General Practice |
Location | 9204 Menaul Blvd Ne, Albuquerque, New Mexico |
Authorized Official Name and Position | Loretta R Fudzinski (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5052996112 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bella Smiles Inc 9204 Menaul Blvd Ne Suite 3 Albuquerque NM 87112-2256 Ph: (505) 299-6112 | Bella Smiles Inc 9204 Menaul Blvd Ne Suite 3 Albuquerque NM 87112-2256 Ph: (505) 299-6112 |
NPI Number | 1720117062 |
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Provider Enumeration Date | 03/04/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720117062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DH1036 (New Mexico) | Primary |
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