Individual
TRIET DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3751 N MAIN ST STE D, ROSWELL, NM 88201-0300
(575) 622-5835
Mailing address
1405 S VALLEY DR STE 300, LAS CRUCES, NM 88005-3132
(575) 532-5437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD5184
NM
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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