Individual
MYRNA ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3410 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87106-1148
(505) 459-2795
Mailing address
3410 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87106-1148
(505) 459-2795
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH2821
NM
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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