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BILL ED AVERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4120 BARBARA LOOP, RIO RANCHO, NM 87124
(505) 892-8086
Mailing address
9420 LAYTON CT NE, ALBUQUERQUE, NM 87111
(505) 821-0015
(505) 856-3432

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1021
NM

Other

Enumeration date
06/24/2009
Last updated
06/24/2009
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