Desoto Dentistry, LLC
NPI #1417828880 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1417828880
- Entity Type
- Organization
- Organization Name
- Desoto Dentistry, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 17, 2025
- Last Updated
- Sep 23, 2025
Practice Location
- Address
- 5925 WYOMING BLVD NE STE A
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87109-3841
- Phone
- (505) 269-1818
Authorized Official
- Name
- DR. BROCK JAMES DESOTO, DDS
- Title
- DENTIST
- Phone
- (505) 269-1818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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