Individual
DR. KIRK LOUDEN KIRACOFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6208 MONTGOMERY BLVD NE, SUITE A, ALBUQUERQUE, NM 87109
(505) 881-8488
(505) 889-4065
Mailing address
13032 CAMBRIDGE PLACE NE, ALBUQUERQUE, NM 87112
(505) 203-0731
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2614
NM
Other
Enumeration date
02/06/2006
Last updated
02/08/2013
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