Individual
DR. TESS SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
704 LA JOYA ST STE A, ESPANOLA, NM 87532-2599
(505) 753-2230
(505) 753-7163
Mailing address
704 LA JOYA ST STE A, ESPANOLA, NM 87532-2599
(505) 753-2230
(505) 753-7163
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30027
TX
122300000X
Dentist
D10409
OR
1223G0001X
General Practice Dentistry
Primary
DD4417
NM
Other
Enumeration date
06/27/2014
Last updated
03/22/2019
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