Individual
AMBER JOY HASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6001 WINTER HAVEN DR NW, ALBUQUERQUE, NM 87120-1745
(505) 842-9799
Mailing address
378 BAY LEAF DR, CHULA VISTA, CA 91910-7422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD5276
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2020
Last updated
06/10/2020
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