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Individual

DR. HARRY ROBERT PARSONS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
118 EAST SECOND STREET, DEXTER, NM 88230-0267
(505) 734-5402
(505) 734-5402
Mailing address
PO BOX 267, DEXTER, NM 88230-0267
(505) 734-5402
(505) 734-5402

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD-1512
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02 047 248 000
NM TAX ID NUMBER
NM
Enumeration date
02/28/2007
Last updated
07/09/2007
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