Individual
MRS. NICOLE S. LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
710 PRIMROSE AVE SW, LOS LUNAS, NM 87031-4857
(505) 688-4259
Mailing address
7520 MONTGOMERY BLVD NE, SUITE D-3, ALBUQUERQUE, NM 87109-1521
(505) 688-4259
(505) 878-9904
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH2660
NM
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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