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Contact Information

THERESA BROWN DOONQUAH, DDS
85 WEST HIGHWAY 22
KEWA PUEBLO HEALTH CORPORATION
SANTO DOMINGO PUEBLO, NM87052-0340
 Phone: 505-465-3078
 Fax: 505-465-1153
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for THERESA BROWN DOONQUAH · (Female)

NPI # 1164529277
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/20/2006
Last updated 04/24/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0401008335
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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