Individual
MS. COLLEEN ELIZABETH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H., M.P.H
Contact information
Practice address
516 NIZHONI BLVD, DENTAL # 16, GALLUP, NM 87301-5748
(505) 722-1560
(505) 722-1565
Mailing address
516 NIZHONI BLVD, DENTAL # 16, GALLUP, NM 87301-5748
(505) 722-1560
(505) 722-1565
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 1089
NM
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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