Individual
MS. KIRSTIN LEIGH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
UNIVERSITY OF NEW MEXICO DEPT OF DENTAL MSC, 09 5020 NOVITSKI HALL 1 UNM 2320 TUCKER NE, ALBUQUERQUE, NM 87131-0001
(505) 272-4513
(505) 272-5584
Mailing address
09 5020 NOVITSKI HALL 1 UNM 2320 TUCKER NE, UNIVERSITY OF NEW MEXICO DEPT. OF DENTAL MSC, ALBUQUERQUE, NM 87131-0001
(505) 272-4513
(505) 272-5584
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH574
NM
Other
Enumeration date
11/07/2006
Last updated
12/03/2012
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