Individual
GERARD ANTHONY TOMKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
80B VETERANS BLVD, ACOMA-CANONCITO-LAGUNA INDIAN, SAN FIDEL, NM 87049
(505) 552-5300
Mailing address
80B VETERANS BLVD, ACOMA-CANONCITO-LAGUNA INDIAN, SAN FIDEL, NM 87049
(505) 552-5300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11138
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H3451
—
NM
Enumeration date
04/10/2007
Last updated
02/17/2015
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