Individual
DR. MARK C MCANELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9315 GALAXIA WAY NE, ALBUQUERQUE, NM 87111-1434
(505) 822-8411
(505) 858-1366
Mailing address
9315 GALAXIA WAY NE, ALBUQUERQUE, NM 87111-1434
(505) 822-8411
(505) 858-1366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002
NM
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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