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1003225236
DAN LAFFERTY
ALBUQUERQUE, NM
NPI
1003225236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D10121)
Additional Taxonomies
122300000X Dentist
(Licence: NM DD4838)
Enumeration Date
2014-08-13
Last Update Date
2020-08-18
Business Address
DAN LAFFERTY DMD
4550 EUBANK BLVD NE STE 101
ALBUQUERQUE, NM 87111-2565
Phone number: 505-292-8588
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Mailing Address
DAN LAFFERTY DMD
554 KEILY STREET BUREAU OF MEDICINE & SURGERY - CENTRALIZED CREDENTIALI
JACKSONVILLE, FL 32212
Phone number: 757-953-7011
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