Individual
MRS. DENISE LEANN MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
423 S 3RD ST, JAL, NM 88252-5024
(575) 395-2205
(575) 395-2209
Mailing address
PO BOX Z, JAL, NM 88252-2525
(575) 395-2205
(575) 395-2209
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH2377
NM
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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