Individual
JAIME ASTORGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
310 E WALNUT ST STE LL5, GARDEN CITY, KS 67846-5572
(620) 272-0570
Mailing address
7204 ARENOSO PL NW, ALBUQUERQUE, NM 87120-1598
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61671
KS
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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