Individual
NATHAN CHRISTOPHER DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
3 MORA VALLEY CLINIC RD, MORA, NM 87732-2202
(505) 387-2201
(575) 387-9006
Mailing address
PO BOX 209, MORA, NM 87732-0209
(575) 387-2201
(575) 387-9006
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH4912
NM
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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