CDB RIO BRAVO LLC NPI 1447500384

NPI Information

NPI: 1447500384
Provider Name: CDB RIO BRAVO LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1625 RIO BRAVO BLVD SW
ALBUQUERQUE, NM
ZIP 87105
Phone: (505) 850-0305
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CDB RIO BRAVO LLC is a dental clinic center in Albuquerque, NM. CDB RIO BRAVO LLC NPI is 1447500384. The provider is registered as an organization entity type.

The provider's business location address is:

1625 RIO BRAVO BLVD SW
ALBUQUERQUE, NM
ZIP 87105-057
Phone: (505) 850-0305

The provider's authorized official is Jonah Foutz .
The authorized official title is Dds and has the following contact phone number (505) 850-0305.

The enumeration date for this NPI number is 9/19/2012 and was last updated on 9/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	DD3662	NEW MEXICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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