DR. Jeremy R Dockstader, D.M.D.

NPI #1174772016 in Albuquerque, New Mexico

Provider Information

NPI Number
1174772016
Entity Type
Individual
Name
DR. Jeremy R Dockstader, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.M.D.
Enumeration Date
Sep 16, 2008
Last Updated
Jan 28, 2013

Practice Location

Address
4701 LOMAS BLVD NE
ZIP Code
87110-6233
Phone
(505) 232-2273

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - General PracticeGeneral Practice

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