Individual
TAMARA LOUISE DONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
199 NM-50, PECOS, NM 87552-8701
(505) 757-6666
(505) 757-6968
Mailing address
PO BOX 710, PECOS, NM 87552-0710
(505) 757-6666
(505) 873-7444
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH2409
NM
Other
Enumeration date
11/18/2005
Last updated
09/29/2021
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