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Individual

DR. ELYSSA JO HOOPES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
711 6TH ST, LAS VEGAS, NM 87701-4352
(505) 425-7574
(505) 425-7554
Mailing address
711 6TH ST, LAS VEGAS, NM 87701-4352
(505) 425-7574
(505) 425-7554

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8042
AZ
1223G0001X
General Practice Dentistry
DD3409
NM

Other

Enumeration date
07/28/2010
Last updated
12/28/2010
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