Individual
DWIGHT DEE HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4273 MONTGOMERY BLVD NE, SUITE 120 EAST, ALBUQUERQUE, NM 87109-6748
(505) 883-3229
(505) 881-6557
Mailing address
4273 MONTGOMERY BLVD NE, SUITE 120 EAST, ALBUQUERQUE, NM 87109-6748
(505) 883-3229
(505) 881-6557
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1093
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
857760
UNITED CONCORDIA
—
Enumeration date
10/11/2006
Last updated
07/08/2007
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