Individual
JARED REESE FOUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2650 E PINON FRONTAGE RD BLDG 300, FARMINGTON, NM 87402-5084
(505) 327-3331
Mailing address
3255 BURNHAM RD, FARMINGTON, NM 87401-7933
(505) 419-7783
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DB-2025-0149
NM
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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