NICHOLAS RICHARD WITHEM

FARMINGTON, NM
NPI1891102752
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: AZ  D009005)
Enumeration Date2014-07-11
Last Update Date2017-12-18
Business Address
Dr. NICHOLAS RICHARD WITHEM DMD
6588 E MAIN ST
FARMINGTON, NM 87402-5122
Phone number: 505-326-6800
Mailing Address
Dr. NICHOLAS RICHARD WITHEM DMD
6588 E MAIN ST
FARMINGTON, NM 87402-5122
Phone number: 805-729-3413
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