DANIEL PETER REARDON

FARMINGTON, NM
NPI1407050586
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NM  DD2880)
Enumeration Date2007-06-13
Last Update Date2007-07-08
Business Address
-- DANIEL PETER REARDON DDS
6588 E MAIN ST
FARMINGTON, NM 87402-5122
Phone number: 505-326-6800
Mailing Address
-- DANIEL PETER REARDON DDS
7111 DELLWOOD CT
FARMINGTON, NM 87402-5045
Phone number: 505-327-5533
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