BROCK J DESOTO

ALBUQUERQUE, NM
NPI1801505607
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NM  DD5697)
Enumeration Date2022-11-21
Last Update Date2023-06-04
Business Address
Dr. BROCK J DESOTO DDS
901 RIO GRANDE BLVD NW STE A194
ALBUQUERQUE, NM 87104-2054
Phone number: 505-582-2950
Mailing Address
Dr. BROCK J DESOTO DDS
6100 CORTADERIA ST NE APT 4028
ALBUQUERQUE, NM 87111-8012
Phone number: