Individual
DR. GREGORY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5800 LOMAS BLVD NE, ALBUQUERQUE, NM 87110-6539
(505) 268-6388
Mailing address
1513 TEJANA MESA PL NE, ALBUQUERQUE, NM 87112-6574
(505) 350-9159
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4979
NM
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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