Dan Richard Mckinney DDS

NPI 1073594214 - Dentist - 122300000X

NPI Details
NPI 1073594214
Gender Male
Enumeration Date 11/07/2005
Last Updated 12/21/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
116 W 21ST ST
CLOVIS NM, 88101-4364, US
Phone (505) 763-4851
Fax (505) 769-0249
Business Location
116 W 21ST ST
CLOVIS NM, 88101-4364, US
Phone (505) 763-4851
Fax (505) 769-0249
Toxanomy
Taxonomy Code 122300000X
License State New Mexico
License Number DD822
Remove 1073594214 NPI Number
 

According to our database, Dr. Dan Richard Mckinney DDS NPI is 1073594214, taxonomy code is 122300000X and license number is DD822, license state is located at New Mexico. Dan Richard Mckinney DDS physically located at 116 W 21st St, Clovis NM, 88101-4364. NPI Number Dan Richard Mckinney DDS has the Individual type.

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1073594214 NPI number is provided on an as is basis without warranty of any kind. 1073594214 is maintained by the National Plan & Provider Enumeration System. The contents of Dan Richard Mckinney DDS are for informational purposes only.