Individual
SANDRA JANE PELTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6 ROAD 7586, BLOOMFIELD, NM 87413-4934
(505) 368-8080
Mailing address
PO BOX 672196, CHUGIAK, AK 99567-2196
(907) 748-4789
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DENH824
AK
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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