CODY KEVIN SLADE

ALAMOGORDO, NM
NPI1356969968
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: NM  DD5291)
Enumeration Date2020-07-09
Last Update Date2020-07-09
Business Address
CODY KEVIN SLADE
2081 1ST ST
ALAMOGORDO, NM 88310-5233
Phone number: 575-437-7900
Mailing Address
CODY KEVIN SLADE
5715 US HIGHWAY 93
JEROME, ID 83338-6780
Phone number: