Individual
B JOE ADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2701 MISSOURI AVE STE D, LAS CRUCES, NM 88011-5091
(505) 522-1500
(505) 521-1529
Mailing address
2701 MISSOURI AVE STE D, LAS CRUCES, NM 88011-5091
(505) 522-1500
(505) 521-1529
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1186
NM
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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