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Individual

DR. KIMBERLY RUTH WOODS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
STATE RD 124, LAGUNA DENTAL CLINIC, NEW LAGUNA, NM 87038
(505) 552-6645
Mailing address
PO BOX 130, ACL INDIAN HOSP (IHS) ATTN BUSINESS OFFICE, SAN FIDEL, NM 87049
(505) 552-6644
(505) 552-5490

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2105
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
H3451
NM
Enumeration date
10/11/2006
Last updated
09/07/2016
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