Individual
MRS. PEGGY HARRIS HYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 N SHORE DR, CARLSBAD, NM 88220-4638
(575) 302-6677
Mailing address
1104 N SHORE DR, CARLSBAD, NM 88220-4638
(575) 302-6677
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH535
NM
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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