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Individual

LEE PAIGE AFFHOLTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 766-5197
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD5177
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
94879567
NM
Enumeration date
08/01/2019
Last updated
09/16/2025
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