Individual
MARK DYAR BRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2001 N CENTRO FAMILIAR SW, ALBUQUERQUE, NM 87105
(505) 873-7423
Mailing address
2001 N CENTRO FAMILIAR SW, ALBUQUERQUE, NM 87105
(505) 873-7423
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD1457
NM
Other
Enumeration date
11/18/2005
Last updated
02/25/2014
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