Dustin York

NPI #1104503218 in Cannon Afb, New Mexico

Provider Information

NPI Number: 1104503218
Entity Type: Individual
Name: Dustin York
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jun 29, 2023
Last Updated: Aug 1, 2024

Practice Location

Address: 224 W D.L. INGRAM AVE, BLDG 1408
City: Cannon Afb
State: New Mexico
ZIP Code: 88103-5103
Phone: (575) 784-2778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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