Individual
DR. GALEN DETRIK HARTENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 MANZANARES AVE E, SOCORRO, NM 87801-4215
(575) 835-3662
Mailing address
8 HOMESTEADS RD, PLACITAS, NM 87043-9230
(505) 331-3517
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3909
NM
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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