Individual
MRS. NUTAN DIVYESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 242-8288
Mailing address
2896 PINEWOOD DR SE, RIO RANCHO, NM 87124-3979
(505) 896-1164
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH1194
NM
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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