Individual
YVETTE GRANADOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3520 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87107-4846
(505) 850-3776
Mailing address
3520 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87107-4846
(505) 850-3776
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH3061
NM
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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