Individual
DR. PRITPAL JOHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3211 COORS BLVD SW STE D2, ALBUQUERQUE, NM 87121-5255
(209) 765-4246
Mailing address
2300 DIAMOND MESA TRL SW APT 2703, ALBUQUERQUE, NM 87121-3718
(209) 765-4246
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6548
AL
122300000X
Dentist
Primary
DD22006
NM
Other
Enumeration date
07/16/2018
Last updated
04/02/2024
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