Individual
JEFFREY SCOTT HARBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
608 LA JOYA ST STE B, ESPANOLA, NM 87532-3467
(505) 753-9454
Mailing address
PO BOX 158, ESPANOLA, NM 87532-0158
(505) 753-7218
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD5102
NM
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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