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Mark Wiatt, DDS
NPI 1801889209 · on the registry since 2005
Practice
- Address
- 1960 N Date St
T Or C, NM 87901 - Phone
- (505) 267-3088
- Fax
- (505) 267-1747
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-12-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico