Individual
DR. WILLARD JEFFREY HAMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MAGD
Contact information
Practice address
1027 SALAZAR RD STE 1, TAOS, NM 87571-4103
(575) 758-1100
(575) 758-0705
Mailing address
1027 SALAZAR RD STE 1, TAOS, NM 87571-4103
(575) 758-1100
(575) 758-0705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DD2560
NM
1223G0001X
General Practice Dentistry
Primary
DD2560
NM
Other
Enumeration date
08/09/2006
Last updated
09/04/2020
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