Individual
DR. JESUS CARLOS GALVAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2500 LOUISIANA BLVD NE, SUITE 600, ALBUQUERQUE, NM 87110-4343
(505) 855-7103
(505) 883-7444
Mailing address
2500 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87110-4372
(505) 855-7103
(505) 883-7444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1463
NM
Other
Enumeration date
08/22/2005
Last updated
07/30/2015
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