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Individual

DR. BROCK J DESOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5925 WYOMING BLVD NE STE A, ALBUQUERQUE, NM 87109-3841
(505) 269-1818
Mailing address
6100 CORTADERIA ST NE APT 4028, ALBUQUERQUE, NM 87111-8012
(505) 269-1818

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD5697
NM

Other

Enumeration date
11/21/2022
Last updated
09/23/2025
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