Individual
DR. RACHEL HARMS FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3901 GEORGIA ST NE, SUITE C4, ALBUQUERQUE, NM 87110-1359
(505) 884-9798
Mailing address
5507 EAKES RD NW, LOS RANCHOS, NM 87107-5529
(573) 230-7237
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD3429
NM
Other
Enumeration date
06/25/2009
Last updated
08/23/2011
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