Individual
DR. CLAUD MAHLON FRALEIGH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1960 N DATE ST, TRUTH OR CONSEQUENCES, NM 87901-3701
(575) 894-7662
(575) 894-7930
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2619
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
917-9300
—
NM
05
—
9179300
—
NM
Enumeration date
01/16/2007
Last updated
05/05/2016
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