Individual
ANITA MARIE FOUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7131 PROSPECT PL NE, ALBUQUERQUE, NM 87110-4313
(505) 883-6562
(505) 883-8634
Mailing address
7131 PROSPECT PL NE, ALBUQUERQUE, NM 87110-4313
(505) 883-6562
(505) 883-8634
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH3306
NM
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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