Individual
DR. ANTHONY W MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1313 LUISA ST STE A, SANTA FE, NM 87505-4157
(505) 983-8051
Mailing address
1313 LUISA ST STE A, SANTA FE, NM 87505-4157
(505) 983-8051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NM1582
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM1582
DENTAL LICENSE
NM
Enumeration date
07/31/2006
Last updated
07/08/2007
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