Individual
DR. SALLY LUTRICK WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1098 MECHEM DRIVE, RUIDOSO, NM 88345
(505) 258-3388
(505) 258-4468
Mailing address
PO BOX 473, RUIDOSO, NM 88355-0473
(505) 258-3388
(505) 258-4468
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NM1316
NM
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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