Individual
DR. STEVEN L WIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 SHEEP SPRINGS WAY, JEMEZ PUEBLO, NM 87024
(575) 834-7388
Mailing address
9301 ALAMEDA BLVD NE, ALBUQUERQUE, NM 87122-3750
(505) 821-1102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2235
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10903585
—
NM
05
—
1574
—
NM
Enumeration date
10/17/2006
Last updated
11/20/2009
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