Individual
MISS MRINMAYEE NATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
US HIGHWAY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6001
(505) 368-6360
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6001
(505) 368-6360
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049173
NY
Other
Enumeration date
10/06/2005
Last updated
03/12/2021
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