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Individual

DR. JOHN N CONNIFF

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS, MSD

Contact information

Practice address
2701 MISSOURI AVE, SUITE C, LAS CRUCES, NM 88011-5091
(505) 522-8229
(505) 522-8123
Mailing address
1500 SNOW RD, LAS CRUCES, NM 88005-3941
(505) 525-1411
(505) 522-8123

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DD1027
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00081331
NM
05
4345
NM
Enumeration date
11/04/2005
Last updated
07/09/2007
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