Individual
MARIELA VICTORIA LEYBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
01 SAGEBRUSH STREET, ISLETA, NM 87022
(505) 238-2997
Mailing address
P.O BOX 640, ISLETA, NM 87022
(505) 869-3200
(505) 869-4881
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH3600
NM
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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