Individual
DR. CRAIG TESTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7 MUNICIPAL WAY, EDGEWOOD, NM 87015-7086
(505) 281-3406
(505) 224-8737
Mailing address
PO BOX 2980, EDGEWOOD, NM 87015-2980
(505) 281-3406
(505) 224-8737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DD5101
NM
1223D0001X
Public Health Dentistry
Primary
DD5101
NM
Other
Enumeration date
05/30/2019
Last updated
10/03/2020
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