Individual
MS. ANDREA J MCCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6401 S RICHARDS AVE, SANTA FE, NM 87508-4887
(505) 984-5048
(505) 983-2363
Mailing address
1035 ALTO ST, SANTA FE, NM 87501-2406
(505) 982-4425
(505) 982-8440
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
NMDH2685
NM
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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