Individual
DR. CLARICE K PICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
125 SIRINGO RD STE A, SANTA FE, NM 87505-5709
(505) 982-0094
(505) 982-9993
Mailing address
125 SIRINGO RD STE A, SANTA FE, NM 87505-5709
(505) 982-0094
(505) 982-9993
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1607
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89433
—
NM
Enumeration date
11/16/2006
Last updated
07/08/2007
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