Individual
CARLY HAVNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, MS
Contact information
Practice address
4400 CUTLER AVE NE, ALBUQUERQUE, NM 87110-3935
(505) 881-1234
Mailing address
5717 ELMWOOD DR NE, ALBUQUERQUE, NM 87109-3755
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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