Individual
DR. HARVEY MICHAEL SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
400 BOTULPH LANE, SANTA FE, NM 87505
(505) 988-3500
Mailing address
65 PASEO ENCANTADO NE, SANTA FE, NM 87506
(505) 989-1165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1989
NM
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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