Individual
CESAR CEVALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
855 ANTHONY DR, ANTHONY, NM 88021-9325
(575) 882-3607
Mailing address
855 ANTHONY DR, ANTHONY, NM 88021-9325
(575) 882-3607
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH3222
NM
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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