Individual
MS. MICHELLE MARIE ARCHULETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
531 HARKLE RD STE D, SANTA FE, NM 87505-4753
(505) 670-7152
Mailing address
531 HARKLE RD STE D, SANTA FE, NM 87505-4753
(505) 670-7152
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DEN-RDH-LIC-30956
MT
124Q00000X
Dental Hygienist
Primary
DH5109
NM
124Q00000X
Dental Hygienist
H009326
AZ
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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