Individual
LESLIE YADIRA MIRAMONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4400 CUTLER AVE NE, ALBUQUERQUE, NM 87110-3935
(866) 963-5679
Mailing address
7228 SOL PONIENTE RD NW, ALBUQUERQUE, NM 87120-5105
(505) 907-4197
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH4898
NM
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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