Individual
JADE VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1439 S SAINT FRANCIS DR, SANTA FE, NM 87505-4037
(505) 473-5437
Mailing address
2546 CALLE DE RINCON BONITO, SANTA FE, NM 87505-5639
(505) 577-5803
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DB-2023-0125
NM
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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