Individual
SANDRA ANN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4201 CENTRAL AVE NW STE F1, ALBUQUERQUE, NM 87105-1669
(505) 843-7172
(505) 352-6689
Mailing address
7508 MCNERNEY AVE NE, ALBUQUERQUE, NM 87110-2224
(505) 908-1981
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DB-2023-0093
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2023
Last updated
05/26/2023
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