Most Relevant Information
Provider Data
| NPI Number: | 1003225236 |
| Provider Name: | DAN LAFFERTY DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | D10121 |
Most Important Dates
| Enumeration Date: | 08/13/2014 |
| Last Updated: | 08/18/2020 |
Provider Practice Location
4550 EUBANK BLVD NE STE 101
ALBUQUERQUE
NM
871112565
Practice Location Phone/Fax
| Phone: | 5052928588 |
| Fax: | 5052923100 |
Provider Mailing Location
554 KEILY STREET
BUREAU OF MEDICINE & SURGERY - CENTRALIZED CREDENTIALI
JACKSONVILLE
FL
32212
Provider Mailing Phone/Fax
| Phone: | 7579537011 |
| Fax: |