Individual
VERNA DEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1960 N DATE ST, T OR C, NM 87901-3701
(505) 894-7662
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(505) 267-3286
(505) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH1067
NM
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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