Individual
DR. LAWRENCE ERIC SUAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2650 E. PINON FRONTAGE RD. BLDG. 200, FARMINGTON, NM 87402-5061
(505) 599-9359
(505) 599-8177
Mailing address
2650 E. PINON FRONTAGE RD. BLDG. 200, FARMINGTON, NM 87402-5061
(505) 599-9359
(505) 599-8177
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DD1997
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83327
—
NM
Enumeration date
03/29/2006
Last updated
11/25/2014
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