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Individual

DR. JOSEPH EDWARD PITLUCK III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4701 LOMAS BLVD NE, ALBUQUERQUE, NM 87110-6233
(505) 232-2273
Mailing address
531 HERMOSA DR NE, ALBUQUERQUE, NM 87108-1029
(303) 886-6189

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3502
NM

Other

Enumeration date
06/09/2011
Last updated
06/09/2011
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