Individual
DR. ANNE KALLISTA HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
8501 CANDELARIA RD NE, SUITE C1, ALBUQUERQUE, NM 87112-1034
(505) 298-9600
Mailing address
1922 RIO GRANDE BLVD NW, ALBUQUERQUE, NM 87104-2524
(505) 504-4156
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3696
NM
Other
Enumeration date
07/09/2012
Last updated
11/04/2013
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