Organization
DALLIN BASSETT OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALLIN BASSETT OD (OWNER/OPTOMETRIST)
(832) 613-1096
Entity
Organization
Contact information
Practice address
121 N MAIN AVE, AZTEC, NM 87410-1923
(505) 333-7278
Mailing address
4916 KINGSWAY DR, FARMINGTON, NM 87402-4861
(832) 613-1096
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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