Provider Demographics
NPI:1558579599
Name:SANCHEZ DILS, ELAINE MICHELLE (RDH, MA)
Entity type:Individual
Prefix:PROF
First Name:ELAINE
Middle Name:MICHELLE
Last Name:SANCHEZ DILS
Suffix:
Gender:F
Credentials:RDH, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1512 MESILLA ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-7230
Mailing Address - Country:US
Mailing Address - Phone:505-262-9806
Mailing Address - Fax:505-272-5584
Practice Address - Street 1:1 UNIVERSITY OF NEW MEXICO
Practice Address - Street 2:MSC09 5020
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-272-0838
Practice Address - Fax:505-272-5584
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMDH1415124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist