Individual
SANDRA KAY ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, MS
Contact information
Practice address
2730 QUINCY ST NE, ALBUQUERQUE, NM 87110-3054
(505) 688-8058
(505) 827-2557
Mailing address
2730 QUINCY ST NE, ALBUQUERQUE, NM 87110-3054
(505) 688-8058
(505) 827-2557
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 917
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77979826
—
NM
Enumeration date
10/12/2005
Last updated
07/08/2007
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