Individual
CARRIE BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2844 E MAIN ST STE 106-145, FARMINGTON, NM 87402-5260
(505) 360-0024
Mailing address
2844 E MAIN ST STE 106-145, FARMINGTON, NM 87402-5260
(505) 360-0024
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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