Individual
PROF. DEMETRA DEBBIE LOGOTHETIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, MS
Contact information
Practice address
UNIVERSITY OF NEW MEXICO DENTAL HYGIENE, ALBUQUERQUE, NM 87131-0001
(505) 272-4513
(505) 272-5584
Mailing address
12110 SAN BERNARDINO DR NE, ALBUQUERQUE, NM 87122-2386
(505) 271-0057
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH738
NM
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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