Individual
SHIRLENA T WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
SOUTH VALLEY DENTAL, 2001 CENTRO FAMILIAR SW, ALBUQUERQUE, NM 87105
(505) 873-7400
Mailing address
PO BOX 25445, ALBUQUERQUE, NM 87125-0445
(505) 767-1111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD3426
NM
Other
Enumeration date
04/26/2010
Last updated
03/13/2024
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