Individual
CAMILLE PELLEGRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 THORPE RD, LAS CRUCES, NM 88012-9776
(575) 526-6200
(575) 526-2266
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4378
NM
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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