Individual
PROF. CONNIE BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, MS
Contact information
Practice address
MSC09 5020, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-1179
(505) 272-5584
Mailing address
MSC09 5020, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-1179
(505) 272-5584
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH4307
NM
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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