Individual
AISLINN B GROVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
INDIAN SERVICE RTE 140 & INDIAN SERVICE ROUTE 125, PINEHILL, NM 87357
(505) 806-0025
Mailing address
PO BOX 496, BLUEWATER, NM 87005-0496
(575) 915-5369
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH3598
NM
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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