Individual
DR. VALERIE NICOLE LAPOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
RR 5 BOX 446, SANTA CLARA HEALTH CENTER, ESPANOLA, NM 87532-8908
(505) 753-9421
(505) 753-5039
Mailing address
RR 5 BOX 446, SANTA CLARA HEALTH CENTER, ESPANOLA, NM 87532-8908
(505) 753-9421
(505) 753-5039
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20479
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28475054
—
NM
Enumeration date
12/11/2006
Last updated
07/08/2007
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