Individual
MR. DENNIS MICHAEL MAIETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
314 ARNO ST SE, ALBUQUERQUE, NM 87102-3515
(505) 242-3452
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4561
NM
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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