| Bosque Smiles Dentistry, Llc | |
|
5600 Coors Blvd Nw Ste G4 Albuquerque NM 87120-1877 | |
| (505) 431-9740 | |
| Not Available |
| Full Name | Bosque Smiles Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5600 Coors Blvd Nw Ste G4, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jae Yang (OWNER) |
| Authorized Official Contact | 7148458500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bosque Smiles Dentistry, Llc 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8500 | Bosque Smiles Dentistry, Llc 5600 Coors Blvd Nw Ste G4 Albuquerque NM 87120-1877 Ph: (505) 431-9740 |
| NPI Number | 1013550094 |
|---|---|
| Provider Enumeration Date | 10/23/2019 |
| Last Update Date | 10/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013550094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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