Individual
MR. CARLOS VALLEJO SEDILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
8 CEDAR ROAD, SAN FELIPE PUEBLO, NM 87001
(505) 867-5025
(505) 771-9998
Mailing address
P.O. BOX 4342, SAN FELIPE PUEBLO, NM 87001
(505) 867-5025
(505) 771-9998
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH4264
NM
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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