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1841517505
FALON DEAN WAISATH
LAS CRUCES, NM
NPI
1841517505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CO DEN.00202094)
Enumeration Date
2010-04-21
Last Update Date
2015-11-12
Business Address
-- FALON DEAN WAISATH D.M.D.
530 N TELSHOR BLVD STE A
LAS CRUCES, NM 88011-8243
Phone number: 216-973-6445
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Mailing Address
-- FALON DEAN WAISATH D.M.D.
PO BOX 21
PAONIA, CO 81428-0021
Phone number: 970-527-4853
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