Individual
C DOUGLAS CLOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7910 WYOMING BLVD NE, SUITE A, ALBUQUERQUE, NM 87109-6029
(505) 296-9504
(505) 296-0078
Mailing address
7910 WYOMING BLVD NE, SUITE A, ALBUQUERQUE, NM 87109-6029
(505) 296-9504
(505) 296-0078
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1476
NM
Other
Enumeration date
08/06/2006
Last updated
08/26/2008
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