DAVINA ROSE DETRIK

SANTA FE, NM
NPI1457793416
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NM  DD3923)
Enumeration Date2013-07-19
Last Update Date2024-02-10
Business Address
Dr. DAVINA ROSE DETRIK DDS
2 CALLE MEDICO STE 3
SANTA FE, NM 87505-4785
Phone number: 505-303-1974
Mailing Address
Dr. DAVINA ROSE DETRIK DDS
6835 GUADALUPE TRL NW
LOS RANCHOS, NM 87107-6205
Phone number: 303-519-3454
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