DR. Jack Randall Wells JR., DDS
NPI #1396345963 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1396345963
- Entity Type
- Individual
- Name
- DR. Jack Randall Wells JR., DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Oct 31, 2020
- Last Updated
- Oct 1, 2023
Practice Location
- Address
- 9201 EAGLE RANCH RD NW
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87114-6440
- Phone
- (505) 892-9010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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