NPI 1083828453

Edwina Faye Lee, DENTALHYGIENIST

Practitioner Dental Hygienist San Fidel, NM

Practice location

Address: Exit 102 Off I40 1/2 Mi South, San Fidel, NM 87049
Phone: (505) 552-5310
Fax: (505) 552-5490
Mailing address: PO Box 130 Acoma Canoncito Laguna Indian Hospital Dhhs Ihs, San Fidel, NM 87049-0130

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 2038 (AL)

Other Dental Hygienist providers in New Mexico →

Registry record

NPI: 1083828453
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.