Individual
ANTHONY M NIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 766-5197
Mailing address
3401 COMANCHE RD NE, ALBUQUERQUE, NM 87107-4537
(505) 883-6279
(505) 872-3909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1626
NM
Other
Enumeration date
07/19/2006
Last updated
02/12/2021
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