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Organization
DESOTO DENTISTRY, LLC
Active
Organization
DESOTO DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROCK JAMES DESOTO DDS (DENTIST)
(505) 269-1818
Entity
Organization
Contact information
Practice address
5925 WYOMING BLVD NE STE A, ALBUQUERQUE, NM 87109-3841
(505) 269-1818
Mailing address
5925 WYOMING BLVD NE STE A, ALBUQUERQUE, NM 87109-3841
(505) 269-1818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
09/23/2025
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