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Individual

REGE WILLIAM HASTINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
903 S 12TH ST, ROCKY FORD, CO 81067-2127
(719) 254-7623
(719) 254-5112
Mailing address
128 MARKET ST, ALAMOSA, CO 81101-2290
(719) 589-5161
(719) 589-5722

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
532
CO

Other

Enumeration date
12/11/2006
Last updated
07/08/2007
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