Individual
DR. JACK RICHARD SVITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9169 COORS BLVD NW, ALBUQUERQUE IHS DENTAL CLINIC, ORTHODONTICS, ALBUQUERQUE, NM 87120-3101
(505) 922-4250
(505) 346-2311
Mailing address
9169 COORS BLVD NW, ALBUQUERQUE IHS DENTAL CLINIC, ORTHODONTICS, ALBUQUERQUE, NM 87120-3101
(505) 922-4250
(505) 346-2311
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4496
VA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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