Individual
KELCEY LOVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9201 EAGLE RANCH RD NW, ALBUQUERQUE, NM 87114-6032
(505) 553-3607
Mailing address
9201 EAGLE RANCH RD NW, ALBUQUERQUE, NM 87114-6032
(505) 553-3607
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6988
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DD
NM
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DD4824
NM
Other
Enumeration date
12/13/2017
Last updated
03/17/2018
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