Individual
KAREN DENEEN CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
INTERSECTION OF RT. 9 AND HWY 371, CROWNPOINT, NM 87313-0358
(505) 786-6283
(505) 786-6394
Mailing address
PO BOX 358, CROWNPOINT, NM 87313-0358
(505) 786-6283
(505) 786-6394
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402203121
VA
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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