Individual
DR. DANEN SJOSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PHD
Contact information
Practice address
7007 WYOMING BLVD NE, SUITE C-2, ALBUQUERQUE, NM 87109-3987
(614) 949-9685
Mailing address
7007 WYOMING BLVD NE, SUITE C-2, ALBUQUERQUE, NM 87109-3987
(614) 949-9685
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DD3647
NM
Other
Enumeration date
06/16/2010
Last updated
11/15/2012
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