Individual
ELAINE LABOR GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, CSOM
Contact information
Practice address
5701 CARMEL AVE NE, ALBUQUERQUE, NM 87113-2842
(505) 265-3400
Mailing address
4 CHILI RD, LOS LUNAS, NM 87031-7031
(505) 450-1445
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH4371
NM
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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