Individual
NICOLE VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4730 BECKNER RD, SANTA FE, NM 87507-3691
(505) 939-4500
Mailing address
4730 BECKNER RD, SANTA FE, NM 87507-3691
(505) 939-4500
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DB-2025-0144
NM
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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