Individual
VICTOR MATTHEW PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
305 E WASHINGTON AVE, TUCUMCARI, NM 88401-3873
(623) 383-3839
Mailing address
6370 QUAY ROAD AR # 1093, TUCUMCARI, NM 88401-9529
(623) 383-3839
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4902
NM
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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