Michael Darais

NPI #1730596024 in Kirtland, New Mexico

Provider Information

NPI Number: 1730596024
Entity Type: Individual
Name: Michael Darais
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jul 17, 2014
Last Updated: Jul 17, 2014

Practice Location

Address: 3 COUNTY ROAD 6523
City: Kirtland
State: New Mexico
ZIP Code: 87417-9452
Phone: (505) 598-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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