Individual
DR. NATHAN CHARLTON DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2918 HILLRISE DR, LAS CRUCES, NM 88011-4702
(505) 522-0821
(505) 521-3556
Mailing address
2918 HILLRISE DR, LAS CRUCES, NM 88011-4702
(505) 522-0821
(505) 521-3556
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DD1601
NM
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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