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Li Bao, D.M.D. — NPI 1730501032, Albuquerque, NM | NPI Central

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NPI 1730501032

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Li Bao, D.M.D.

NPI 1730501032 · Oral and Maxillofacial Surgery (Dentist) · Albuquerque, NM

Provider details

NPI number: 1730501032
Entity type: Individual
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Credential: D.M.D.
Sex: Male
Sole proprietor: No
License: 63209 (CA)

Specialties & taxonomies

Oral and Maxillofacial Surgery (Dentist)Primary1223S0112XLicense DD4029 (NM)
Dental Providers
Dentist122300000XLicense 63209 (CA)
Dental Providers
Dentist122300000XLicense DD4029 (NM)
Dental Providers
General Practice Dentistry1223G0001XLicense DD4029 (NM)
Dental Providers

Practice location

475 Coors Blvd Nw Ste a

Albuquerque, NM 87121-1426

Phone: (505) 208-0505

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

475 Coors Blvd Nw Ste a

Albuquerque, NM 87121-1426

Additional practice locations (1)

4111 Barbara Loop Se Ste E2
Rio Rancho, NM 87124-1068
Phone: (505) 208-0505

Registry dates

Enumerated: 2014-01-07
Last updated: 2024-08-06
Certified: 2024-08-06

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