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1558471037
DEREK CHRISTIAN LINES
ALBUQUERQUE, NM
NPI
1558471037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NM DD2366)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Dr. DEREK CHRISTIAN LINES DDS
5343 WYOMING BLVD NE STE A
ALBUQUERQUE, NM 87109-3199
Phone number: 505-822-8777
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Mailing Address
Dr. DEREK CHRISTIAN LINES DDS
5343 WYOMING BLVD NE STE A
ALBUQUERQUE, NM 87109-3199
Phone number: 505-822-8777
Copy
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