Organization
HAGGERTY DENTAL LLC
Active
Other names
Haggerty Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT RYAN HAGGERTY DDS (OWNER/ PARTNER)
(505) 268-3384
Entity
Organization
Contact information
Practice address
5124 ZUNI RD SE, ALBUQUERQUE, NM 87108-2833
(505) 268-3384
(505) 265-5554
Mailing address
5124 ZUNI RD SE, ALBUQUERQUE, NM 87108-2833
(505) 268-3384
(505) 265-5554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4701
NM
Other
Enumeration date
09/11/2017
Last updated
07/21/2022
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