Most Relevant Information
Provider Data
| NPI Number: | 1003257981 |
| Provider Name: | GALEN DETRIK HARTENBERGER DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | DD3909 |
Most Important Dates
| Enumeration Date: | 07/09/2013 |
| Last Updated: | 07/09/2013 |
Provider Practice Location
200 MANZANARES AVE E
SOCORRO
NM
878014215
Practice Location Phone/Fax
| Phone: | 5758353662 |
| Fax: |
Provider Mailing Location
8 HOMESTEADS RD
PLACITAS
NM
870439230
Provider Mailing Phone/Fax
| Phone: | 5053313517 |
| Fax: |