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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB KUALAPAI, RDH, CDHC

Active Sole Proprietor

JACOB KUALAPAI, RDH, CDHC is a Dental Hygienist healthcare provider located in LOS RANCHOS, New Mexico. NPI 1467007427 is currently active in the NPPES registry. Verify at CMS.

Dental Hygienist · LOS RANCHOS, NM

Registration Details

NPI Number
1467007427
Provider Type
Individual
Gender
Male
NPI Issued
Aug 7, 2019 (7.0638392141519 yrs)
Last Updated
Aug 7, 2019
License
DH2912 (NM)
Sole Proprietor
Yes

Practice Information

Address
1776 MONTANO RD NW
LOS RANCHOS, NM, 871073245
Browse NM providers · Browse ZIP 87107
Phone
5056150951
Primary Specialty
Dental Hygienist
124Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.