| Bosque801 | |
|
3613 Highway 528 Nw Ste G Albuquerque NM 87114-8918 | |
| (505) 898-8011 | |
| Not Available |
| Full Name | Bosque801 |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3613 Highway 528 Nw Ste G, Albuquerque, New Mexico |
| Authorized Official Name and Position | Rafael Rascon (DENTIST) |
| Authorized Official Contact | 8019490273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bosque801 3530 Escarpa Dr Nw Albuquerque NM 87120-1511 Ph: () - | Bosque801 3613 Highway 528 Nw Ste G Albuquerque NM 87114-8918 Ph: (505) 898-8011 |
| NPI Number | 1861382822 |
|---|---|
| Provider Enumeration Date | 07/09/2025 |
| Last Update Date | 07/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861382822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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