Individual
CELES BARBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1748 W MALONEY AVE, GALLUP, NM 87301-3333
(505) 863-8100
Mailing address
PO BOX 2071, CROWNPOINT, NM 87313-2071
(505) 320-2263
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH4434
NM
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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