Individual
MISS VELMA M. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.A.
Contact information
Practice address
07 CHOOSGAI DRIVE, TOHATCHI, NM 87325
(505) 733-8440
(505) 733-8239
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
(505) 733-8440
(505) 733-8239
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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