Individual
DR. STEPHEN D JENKINS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10151 MONTGOMERY BLVD NE, SUITE - 2B, ALBUQUERQUE, NM 87111-3670
(505) 830-3636
(505) 830-2305
Mailing address
10151 MONTGOMERY BLVD NE, SUITE - 2B, ALBUQUERQUE, NM 87111-3670
(505) 830-3636
(505) 830-2305
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
2001012603
MO
1223E0200X
Endodontics
Primary
DD2173
NM
Other
Enumeration date
02/03/2006
Last updated
07/08/2007
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