MICHELLE R TOM

GALLUP, NM
NPI1376792903
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy126800000X Dental Assistant
Enumeration Date2008-09-18
Last Update Date2008-09-18
Business Address
MS. MICHELLE R TOM DA
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Mailing Address
MS. MICHELLE R TOM DA
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000