Individual
DR. NOHA OUSHY EISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
103 LIVINGSTON LOOP STE B3, SANTA TERESA, NM 88008
(575) 332-4047
Mailing address
103 LIVINGSTON LOOP STE B3, SANTA TERESA, NM 88008-9762
(575) 332-4047
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
63598
CA
1223G0001X
General Practice Dentistry
Primary
DD4482
NM
Other
Enumeration date
07/16/2014
Last updated
05/29/2019
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