GUSTAVO VASQUEZ SIDA

LAS CRUCES, NM
NPI1871088419
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NM  DD5149)
Additional Taxonomies122300000X Dentist
(Licence: AZ  D010085)
Enumeration Date2018-06-26
Last Update Date2019-10-22
Business Address
Dr. GUSTAVO VASQUEZ SIDA DMD
1998 N MOTEL BLVD
LAS CRUCES, NM 88007
Phone number: 575-541-5941
Mailing Address
Dr. GUSTAVO VASQUEZ SIDA DMD
PO BOX 370
HATCH, NM 87937-0370
Phone number: 575-267-3280
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