Individual
THERESA A ULIBARRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 221, CEBOLLA, NM 87518-0221
(505) 620-0394
Mailing address
PO BOX 221, CEBOLLA, NM 87518-0221
(505) 620-0394
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH3888
NM
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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