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1164919304
JERREN MICHAEL ALCALDE
SHIPROCK, NM
NPI
1164919304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401416334)
Enumeration Date
2018-04-13
Last Update Date
2019-02-06
Business Address
JERREN MICHAEL ALCALDE DDS
US HWY 491 NORTH
SHIPROCK, NM 87420
Phone number: 505-368-6001
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Mailing Address
JERREN MICHAEL ALCALDE DDS
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6001
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