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Organization

TASKER HATCH ROWAN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KUSHBOO KUMAR (CREDENTIALING SUPERVISOR)
(916) 877-7450
Entity
Organization

Contact information

Practice address
802 US HIGHWAY 491, GALLUP, NM 87301-5388
(505) 892-9010
Mailing address
802 US HIGHWAY 491 STE 802, GALLUP, NM 87301-5388
(505) 862-5018

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
05/15/2013
Last updated
06/09/2026
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