Individual
DIANA N ULRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
801 ENCINO PL NE STE A3, ALBUQUERQUE, NM 87102-2639
(505) 232-3588
(505) 232-3593
Mailing address
801 ENCINO PL NE STE A3, ALBUQUERQUE, NM 87102-2639
(505) 232-3588
(505) 232-3593
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DD3716
NM
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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