Individual
REBECCA BRIMHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4400 CUTLER AVE NE, ALBUQUERQUE, NM 87110-3935
(855) 384-7462
Mailing address
10817 PENNYBACK PARK DR NE, ALBUQUERQUE, NM 87123-4891
(928) 266-5476
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4260
NM
124Q00000X
Dental Hygienist
7124
AZ
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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