Individual
DR. MICHAEL STEPHEN DONDELINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
608 LAJOYA ST., SUITE B, ESPANOLA, NM 87532
(505) 753-9454
(505) 753-1212
Mailing address
1870 BROADVIEW DR, LOS ALAMOS, NM 87544-2800
(505) 662-7405
(505) 753-1212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1231
NM
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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