OrganizationActive
Wilson Radiographic Center of Albuquerque, Inc
NPI 1336297712 · Dental Laboratory · Albuquerque, NM
Provider details
- NPI number
- 1336297712
- Entity type
- Organization
- Primary specialty
- Dental LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Debra Burns, Owner(505) 883-5066
- License
- FA0000071 (NM)
Specialties & taxonomies
Laboratories
Practice location
3901 Louisiana Blvd Ne
Suite E
Albuquerque, NM 87110-1577
Phone: (505) 883-5066
Fax: (505) 888-9466
Approximate (ZIP-level) locationGet directions
Mailing address
3901 Louisiana Blvd Ne
Albuquerque, NM 87110-1577
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.