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Individual

DR. JOHN DAVID NOYES JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
120 98TH ST NW STE C3, ALBUQUERQUE, NM 87121-9021
(510) 701-5076
Mailing address
120 98TH ST NW STE C3, ALBUQUERQUE, NM 87121-9021
(505) 352-5439

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2523
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1768244
UNITED CONCORDIA GROUP #
NM
05
51004844
NM
Enumeration date
07/18/2006
Last updated
07/29/2020
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