Individual
MS. SATIVA MARIE RIDSDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH BS
Contact information
Practice address
475 COORS BLVD NW STE A, ALBUQUERQUE, NM 87121-1426
(505) 208-0505
Mailing address
3808 PUENTA ALTO AVE NE, RIO RANCHO, NM 87124-4747
(505) 264-4263
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH3039
NM
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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