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Individual

MARYROSE TWOHIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6800 MONTGOMERY BLVD NE, SUITE E, ALBUQUERQUE, NM 87109-1405
(505) 881-9767
Mailing address
6800 MONTGOMERY BLVD NE, SUITE E, ALBUQUERQUE, NM 87109
(505) 881-9767

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2320
NM

Other

Enumeration date
04/12/2007
Last updated
07/08/2007
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