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1760471379
CHARLES TATLOCK
ALBUQUERQUE, NM
NPI
1760471379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NM DD 1861)
Enumeration Date
2005-10-17
Last Update Date
2017-03-22
Business Address
CHARLES TATLOCK
1801 CAMINO DE SALUD NE SUITE 1200
ALBUQUERQUE, NM 87102-4516
Phone number: 505-925-4031
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Mailing Address
CHARLES TATLOCK
933 BRADBURY DR SE SUITE 2222
ALBUQUERQUE, NM 87106-4374
Phone number: 505-272-3120
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