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1104930288
JEFFERY BRYAN WHEATON
ALBUQUERQUE, NM
NPI
1104930288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: NM DDS 2052)
Enumeration Date
2006-08-18
Last Update Date
2007-07-08
Business Address
Dr. JEFFERY BRYAN WHEATON DDS MD
1628 ALAMEDA BLVD NW
ALBUQUERQUE, NM 87114
Phone number: 505-899-6979
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Mailing Address
Dr. JEFFERY BRYAN WHEATON DDS MD
1628 ALAMEDA BLVD NW
ALBUQUERQUE, NM 87114
Phone number: 505-899-6979
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