Individual
JAYSON GARCIA-GURULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 DE MOSS ST, LORDSBURG, NM 88045-2617
(575) 542-8384
(575) 542-8387
Mailing address
530 DE MOSS ST, LORDSBURG, NM 88045-2617
(575) 542-8384
(575) 542-8387
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD5146
NM
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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