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1164410882
CIELO CONSTANZA DOHERTY
SHIPROCK, NM
NPI
1164410882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CO 6891)
Enumeration Date
2005-10-06
Last Update Date
2007-09-18
Business Address
Dr. CIELO CONSTANZA DOHERTY DDS
US HWY 491 NORTH
SHIPROCK, NM 87420
Phone number: 505-368-6401
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Mailing Address
Dr. CIELO CONSTANZA DOHERTY DDS
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6401
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