Individual
JEFF M JARAMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3472 STATE HIGHWAY 47, LOS LUNAS, NM 87031-8222
(505) 865-9788
Mailing address
PO BOX 695, LOS LUNAS, NM 87031-0695
(505) 865-9788
(505) 565-0422
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1442
NM
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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