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Contact Information

DEZBAA A DAMON MALLETTE, DMD
07 CHOOSHGAI DR.
TOHATCHI, NM87325
 Phone: 505-733-8440
 Fax: 505-733-2384
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for DEZBAA A DAMON MALLETTE · (Female)

NPI Number 1598958415
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 08/23/2007
Last updated 11/17/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # D008231
  • NM License # DD4027
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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