Whalio Doctors

NPI 1003257981

Galen Detrik Hartenberger, DDS

Practitioner General Practice Dentistry Socorro, NM

Practice location

Address
200 Manzanares Ave E, Socorro, NM 87801-4215
Phone
(575) 835-3662
Mailing address
8 Homesteads Rd, Placitas, NM 87043-9230

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence DD3909 (NM)

Registry record

NPI
1003257981
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Jul 2013
Record last updated
9 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.