Individual
DENNIS BETDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 EUBANK BLVD NE, ALBUQUERQUE, NM 87123-2758
(505) 292-8035
Mailing address
400 EUBANK BLVD NE, ALBUQUERQUE, NM 87123-2758
(505) 292-8035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4936
NM
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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