Individual
SUZANNE KIERMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2573 STATE HIGHWAY 522, QUESTA, NM 87556-2573
(575) 586-0315
Mailing address
P O BOX 3671, TAOS, NM 87571-3671
(505) 930-0182
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH2232
NM
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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