Individual
DR. PETER DYLAN MIDKIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
700 MECHEM DR., SUITE 8, RUIDOSO, NM 88345
(505) 257-1136
(505) 257-0923
Mailing address
700 MECHEM DR., SUITE 8, RUIDOSO, NM 88345
(505) 257-1136
(505) 257-0923
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2022
NM
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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