Individual
PATRICIA HEATHER DISWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
5800 LOMAS BLVD NE, ALBUQUERQUE, NM 87110-6539
(505) 767-7556
Mailing address
PO BOX 50591, ALBUQUERQUE, NM 87181-0591
(505) 360-1663
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH4975
NM
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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