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Individual

SELENA MALDONADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3400 S ESPINA ST, LAS CRUCES, NM 88003-1290
(575) 528-7071
Mailing address
3400 SOUTH ESPINA STREET, MSC 3DA, PO BOX 30001, LAS CRUCES, NM 88003

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH4911
NM

Other

Enumeration date
01/22/2025
Last updated
01/22/2025
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