Individual
MRS. HOLLI MICHELLE PEREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
200 SUDDERTH DR STE C, RUIDOSO, NM 88345-5908
(575) 286-4321
(575) 286-4321
Mailing address
200 SUDDERTH DR STE C, RUIDOSO, NM 88345-5908
(575) 286-4321
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH5253
NM
Other
Enumeration date
12/20/2025
Last updated
07/10/2026
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