Individual
ANDREA EICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6349 US HIGHWAY 550, CUBA, NM 87013
(575) 289-3291
Mailing address
6349 US HIGHWAY 550, CUBA, NM 87013
(575) 289-3291
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4039
NM
1223G0001X
General Practice Dentistry
D008438
AZ
Other
Enumeration date
06/08/2012
Last updated
06/25/2014
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