KENNETH JARED LUSK

FARMINGTON, NM
NPI1437164233
Professional NameK JARED LUSK
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NM  DD1834)
Enumeration Date2006-07-30
Last Update Date2007-07-08
Business Address
-- KENNETH JARED LUSK D.D.S.
204 N AUBURN AVE
FARMINGTON, NM 87401-8412
Phone number: 505-325-8401
Mailing Address
-- KENNETH JARED LUSK D.D.S.
204 N AUBURN AVE
FARMINGTON, NM 87401-8412
Phone number: 505-325-8401
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