Individual
DR. TERESA LOUISE MONDRAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4101 MORRIS ST NE, SUITE C, ALBUQUERQUE, NM 87111-3605
(505) 298-7470
(505) 323-6475
Mailing address
4101 MORRIS ST NE, SUITE C, ALBUQUERQUE, NM 87111-3605
(505) 298-7470
(505) 323-6475
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1572
NM
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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