BRUCE ALEXANDER JACK

ALBUQUERQUE, NM
NPI1891816476
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NM  1441)
Enumeration Date2007-04-02
Last Update Date2007-07-08
Business Address
-- BRUCE ALEXANDER JACK D.D.S.
3309 JUAN TABO BLVD NE SUITE B
ALBUQUERQUE, NM 87111-5131
Phone number: 505-730-3355
Mailing Address
-- BRUCE ALEXANDER JACK D.D.S.
7416 SULKY DR NE
ALBUQUERQUE, NM 87109-6804
Phone number: 505-730-3355
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