Individual
MICHAEL KEITH MADRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
602 WEST PIERCE, CARLSBAD, NM 88220-5241
(505) 887-7575
(505) 885-2806
Mailing address
602 WEST PIERCE, CARLSBAD, NM 88220-5241
(505) 887-7575
(505) 885-2806
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1180
NM
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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