Individual
DR. DENNIS G. FILLMORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3901 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87110-1577
(505) 883-4649
Mailing address
3901 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87110-1448
(505) 883-4649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1278
NM
Other
Enumeration date
02/16/2006
Last updated
07/08/2007
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