ROBERT C SUPPLE

ALBUQUERQUE, NM
NPI1710993100
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NM  1365)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
-- ROBERT C SUPPLE DMD
8401 OSUNA RD NE SUITE C
ALBUQUERQUE, NM 87111-2074
Phone number: 505-294-8869
Mailing Address
-- ROBERT C SUPPLE DMD
8401 OSUNA RD NE SUITE C
ALBUQUERQUE, NM 87111-2074
Phone number: 505-294-8869