Jayakumar Samuel

NPI #1730608928 in Espanola, New Mexico

Provider Information

NPI Number: 1730608928
Entity Type: Individual
Name: Jayakumar Samuel
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Sep 19, 2017
Last Updated: Sep 19, 2017

Practice Location

Address: 232 N PASEO DE ONATE
City: Espanola
State: New Mexico
ZIP Code: 87532-2623
Phone: (505) 753-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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