DEAN H HATTAN

ACOMA, NM
NPI1174592877
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: AZ  2106)
Additional Taxonomies152W00000X Optometrist
(Licence: WA  001231)
Enumeration Date2006-03-15
Last Update Date2016-08-01
Business Address
-- DEAN H HATTAN OD
80 B VETERANS BLVD I-40, EXIT 102
ACOMA, NM 87034
Phone number: 505-552-5300
Mailing Address
-- DEAN H HATTAN OD
PO BOX 130
SAN FIDEL, NM 87049-0130
Phone number: 505-552-5300
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