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NPI 1487953790

OrganizationActive

Albuquerque Modern Dentistry, LLC

NPI 1487953790 · General Practice Dentistry · Albuquerque, NM

Provider details

NPI number: 1487953790
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Authorized official: Mario Herrejon-Ruiz, Owner Doctor

Practice location

2800- a Coors Blvd Nw

Albuquerque, NM 87120-1204

Phone: (505) 352-1166

Fax: (505) 352-2805

More NM providers

Mailing address

17000 Red Hill Ave

Irvine, CA 92614-5626

Registry dates

Enumerated: 2011-03-25
Last updated: 2013-11-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Albuquerque Modern Dentistry, LLC — NPI 1487953790, Albuquerque, NM | NPI Central