Individual
VICKI GIANOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 TUCKER NE, ALBUQUERQUE, NM 87131-0001
(505) 272-0837
Mailing address
2320 TUCKER NE, ALBUQUERQUE, NM 87131-0001
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2657
NM
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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