Individual
GABRIEL MAESTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5308 4TH ST NW, ALBUQUERQUE, NM 87107-5206
(505) 341-2273
Mailing address
5308 4TH ST NW, ALBUQUERQUE, NM 87107-5206
(505) 341-2273
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4577
NM
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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