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Individual

DR. JERRY L JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD DDS

Contact information

Practice address
5900 CUBERO DR NE, ALBUQUERQUE, NM 87109-3882
(505) 797-3530
(505) 797-2155
Mailing address
5900 CUBERO DR NE, SUITE A, ALBUQUERQUE, NM 87109-3882
(505) 797-3530
(505) 797-2155

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
85-218
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
84335
NM
05
E1446
NM
Enumeration date
10/21/2005
Last updated
10/05/2010
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