Individual
STEPHANIE ANNEL ZARRASOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
MSC 09 5020, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131
(505) 925-4031
Mailing address
MSC 09 5020, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131
(505) 925-4031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD5369
NM
390200000X
Student in an Organized Health Care Education/Training Program
TD-00130
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
02/25/2020
Last updated
05/11/2022
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