Individual
JAMES JOSEPH MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5131 MAIN ST, STE 101, SANTA FE, NM 87507
(505) 209-9080
(505) 750-9982
Mailing address
5131 MAIN ST, STE 101, SANTA FE, NM 87507
(505) 209-9080
(505) 750-9982
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4465
NM
1223G0001X
General Practice Dentistry
MA15230
MA
Other
Enumeration date
08/24/2006
Last updated
08/05/2016
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