Individual
NICOLE RAE AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6810 MENAUL BLVD NE STE B, ALBUQUERQUE, NM 87110-3725
(505) 872-1100
Mailing address
6810 MENAUL BLVD NE STE B, ALBUQUERQUE, NM 87110-3725
(505) 872-1100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4699
NM
Other
Enumeration date
06/09/2017
Last updated
07/21/2022
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