Dr. Jack Smalley D.d.s.
NPI #1073844221 in Farmington, New Mexico
Provider Information
- NPI Number
- 1073844221
- Entity Type
- Organization
- Organization Name
- Dr. Jack Smalley D.d.s.
- Primary Specialty
- Dentist
- Enumeration Date
- Jan 27, 2010
- Last Updated
- Jan 27, 2010
Practice Location
- Address
- 1700 N BUTLER AVE
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-6331
- Phone
- (505) 327-3331
Authorized Official
- Name
- MRS. DEANZA DAWN SONA
- Title
- OFFICE MANAGER
- Phone
- (505) 327-3331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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