Individual
JEFF WESTBROOK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
PINE HILL DENTAL CLINIC, BIA ROUTE 125, PINE HILL, NM 87357
(505) 775-3271
Mailing address
PO BOX 379, QUEMADO, NM 87829
(505) 773-4322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2426
NM
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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