Individual
DR. STEVEN JACOB TRAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8400 OSUNA RD NE, SUITE 6-B, ALBUQUERQUE, NM 87111-2087
(505) 292-8555
(505) 293-3863
Mailing address
9915 SAN BERNARDINO DR NE, ALBUQUERQUE, NM 87122-3215
(505) 872-2691
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DD1261
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82222
—
NM
01
—
827635
UNITED CONCORDIA (DENTAL)
—
Enumeration date
01/08/2007
Last updated
07/08/2007
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