OrganizationActive
Creating Smiles for Sucess
NPI 1497828115 · Orthodontics and Dentofacial Orthopedics Dentistry · Albuquerque, NM
Provider details
- NPI number
- 1497828115
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Authorized official
- Herlinda Quintana, Consultant
- License
- 2322 (NM)
Practice location
8300 San Pedro Dr Ne
Albuquerque, NM 87113-1703
Phone: (505) 323-3630
Fax: (505) 323-1574
Mailing address
8300 San Pedro Dr Ne
Albuquerque, NM 87113-1703
Registry dates
- Enumerated
- 2006-11-17
- 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.