Individual
BIANCA VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3 MORA VALLEY CLINIC RD, MORA, NM 87732-2202
(575) 387-2481
Mailing address
PO BOX 64, MORA, NM 87732-0064
(505) 617-6544
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DB-2024-0150
NM
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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