Individual
DR. ALLAN PARKER STAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1125 ALAMEDA BLVD NW, ALBUQUERQUE, NM 87114-1936
(505) 933-6873
Mailing address
1125 ALAMEDA BLVD NW, ALBUQUERQUE, NM 87114-1936
(505) 933-6873
(505) 503-6088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D4091
ID
1223G0001X
General Practice Dentistry
Primary
DD4215
NM
Other
Enumeration date
08/14/2007
Last updated
04/14/2021
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