DR. TERESA LOUISE MONDRAGON D.D.S. - NPI 1467524926

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Dr. Teresa Louise Mondragon D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TERESA LOUISE MONDRAGON D.D.S. (NPI 1467524926) is an individual general practice provider in Albuquerque, New Mexico, licensed in New Mexico (DD1572) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1467524926

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TERESA LOUISE MONDRAGONCredential: D.D.S.

Location Address4101 MORRIS ST NE, SUITE CAlbuquerque, NM 87111-3605

Mailing Address4101 Morris St Ne, Suite CAlbuquerque, NM 87111-3605 · (505) 298-7470 · Fax (505) 323-6475

Phone(505) 298-7470

Fax(505) 323-6475

Sole ProprietorYes

Enumeration DateNovember 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1467524926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NM · DD1572

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4101 MORRIS ST NE, Albuquerque, NM 87111

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