Individual
DR. WAYNE DONNIE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1501SAN PEDRO DR. SE, ALBUQUERQUE, NM 87108
(505) 256-2778
Mailing address
1033 MADEIRA DR SE, APT. #101, ALBUQUERQUE, NM 87108-4632
(505) 255-4686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06825
IA
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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