Individual
EMILIA QUEIROZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 CUTLER AVE NE, ALBUQUERQUE, NM 87110-3935
(480) 818-0447
Mailing address
4400 CUTLER AVE NE, ALBUQUERQUE, NM 87110-3935
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH4148
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH4148
DENTAL HYGIENE LICENSE
NM
Enumeration date
12/18/2014
Last updated
05/09/2015
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