Individual
ALYSSA CANDELARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1105 GOLF COURSE RD SE, RIO RANCHO, NM 87124-4733
(505) 891-3190
(505) 994-2053
Mailing address
9012 RETABLO RD NW, ALBUQUERQUE, NM 87120-7073
(505) 720-5883
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DB-2023-0098
NM
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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