DR. JACK O. SMALLEY DSS

FARMINGTON, NM
NPI1063989531
Entity TypeOrganization
Authorized ContactDEANZA D SONA
Office Manager
505-327-3331
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2018-11-01
Last Update Date2018-11-01
Business Address
DR. JACK O. SMALLEY DSS
2650 E PINON FRONTAGE RD BLDG 300
FARMINGTON, NM 87402-5084
Phone number: 505-327-3331
Mailing Address
DR. JACK O. SMALLEY DSS
2650 E PINON FRONTAGE RD BLDG 300
FARMINGTON, NM 87402-5084
Phone number: 505-327-3331