Individual
ATENAS DE TABOADA DA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
506 AIRPORT DR, FARMINGTON, NM 87401-2602
(505) 325-7700
Mailing address
506 AIRPORT DR, FARMINGTON, NM 87401-2602
(954) 225-7647
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD5295.
NM
Other
Enumeration date
07/27/2020
Last updated
08/28/2020
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