Individual
JASON FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 CAMINO DE SALUD NE, ALBUQUERQUE, NM 87102-4516
(505) 925-7767
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
24741
TX
122300000X
Dentist
Primary
DD3741
NM
1223D0004X
Dental Anesthesiology
24741
TX
1223D0004X
Dental Anesthesiology
DD3741
NM
Other
Enumeration date
12/31/2009
Last updated
07/18/2025
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