Mata, Selene
Mata, Selene is an individual health care provider with primary practice located at 385 Calle De Alegra Building C, Las Cruces NM 88005-3423. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Mata, Selene can be contacted via phone (575) 532-1933.Contact Information
Primary practice address
385 Calle De Alegra Building C
Las Cruces NM 88005-3423
Phone: (575) 532-1933
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 3683 | New Mexico |
Profile Details
| NPI number | 1245624030 |
|---|---|
| LBN Legal business name | Mata, Selene |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2015 |
| Last updated | Mar 19th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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