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Dental Assistant

Gallup, New Mexico

Provider NPI: 1558510115

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 505-722-1000  Fax: 505-722-1310

Business Mailing Address:
PO BOX 1337  GALLUP, NM 87305 US
Tel: 505-722-1000  Fax: 505-722-1310

Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y126800000XDental Providers
Dental Assistant


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