Individual
DR. DOMINIC LAWRENCE MARKETTO IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2980 N MAIN ST, LAS CRUCES, NM 88001-1152
(575) 524-3722
(575) 524-9826
Mailing address
2980 N MAIN ST, LAS CRUCES, NM 88001-1152
(575) 524-3722
(575) 524-9826
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4333
NM
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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