Individual
DR. WALTER ALAN ANDREWS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1419 S SANTA BARBARA ST, DEMING, NM 88030-5361
(505) 546-0415
(505) 546-0470
Mailing address
1419 S SANTA BARBARA ST, DEMING, NM 88030-5361
(505) 546-0415
(505) 546-0470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD 1435
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8616
—
NM
Enumeration date
11/08/2005
Last updated
07/08/2007
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