Individual
DR. DEZBAA ALTAALKII DAMON-MALLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
07 CHOOSHGAI DR., TOHATCHI, NM 87325
(505) 733-8440
(505) 733-2384
Mailing address
P.O. BOX 3367, GALLUP, NM 87305
(505) 444-0329
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D008231
AZ
122300000X
Dentist
Primary
DD4027
NM
Other
Enumeration date
08/23/2007
Last updated
11/17/2020
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