Individual
DR. GARY A. MECKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8300 CARMEL AVE NE, SUITE 602, ALBUQUERQUE, NM 87122-3147
(505) 878-0700
(505) 880-1020
Mailing address
8300 CARMEL AVE NE, SUITE 602, ALBUQUERQUE, NM 87122-3147
(505) 878-0700
(505) 880-1020
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DD1993
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B8319
—
NM
Enumeration date
10/21/2005
Last updated
07/09/2007
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