Abq Modern Dental Group Dental Clinic

Get detailed information about Abq Modern Dental Group dental clinic in Irvine California.
Abq Modern Dental Group (ABQ MODERN DENTAL GROUP, LLC) is a Dental Clinic - General Practice in Albuquerque, New Mexico. Dental care clinics provide dental treatment and oral care to patients of all ages. The NPI Number for Abq Modern Dental Group is 1326429622.

The current location address for Abq Modern Dental Group is 12611 Montgomery Blvd Ne, A-1, Albuquerque, New Mexico and the contact number is 505-323-1004 and fax number is 505-323-4355. The mailing address for Abq Modern Dental Group is 17000 Red Hill Ave, , Irvine, California - 92614-5626 (mailing address contact number - 714-845-8890).


Provider Profile Details:
Clinic NameAbq Modern Dental Group
Provider OrganizationABQ MODERN DENTAL GROUP, LLC
Address12611 Montgomery Blvd Ne, A-1,
Albuquerque
New Mexico, 87111-4118
Phone Number505-323-1004
Fax Number505-323-4355
Authorized Official NameKelley Hollingsworth Ryals
Authorized Official Title/PositionOwner Dentist
Authorized Official Contact Number505-323-1004
NPI Number Details:
NPI Number1326429622
Provider Enumeration Date06/11/2015
Last Update Date05/04/2021
Provider Business Mailing Address Details:
Address17000 Red Hill Ave,
CityIrvine
StateCalifornia
Zip92614-5626
Phone Number714-845-8890
Fax Number949-474-1495
Provider's Primary Taxonomy Details:
TypeDental Providers
SpecialityDentist - General Practice
Taxonomy1223G0001X

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