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Individual

MRS. CARLA OFELIA NUNEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
EAST HIGHWAY 18, USPHS INDIAN HOSPITAL, PINE RIDGE, SD 57770
(605) 867-3078
Mailing address
PO BOX 1201, EAST HIGHWAY 18, PINE RIDGE, SD 57770-1201
(605) 867-3078

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
04070
IA
124Q00000X
Dental Hygienist
Primary
2299
NE

Other

Enumeration date
02/26/2013
Last updated
03/01/2013
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