person
Erica Diane Medina, RDH
Dental Hygienist in Taos, New Mexico
NPI 1275000887

Erica Diane Medina is a Dental Hygienist based in Pasadena, NM. Erica Diane Medina practices in Taos, NM and has the professional credentials of RDH. The NPI Number for Erica Diane Medina is 1275000887 and holds a License No. DH4180 (New Mexico).

The current practice location address for Erica Diane Medina is 1090 Goat Springs Road, Taos, NM and can be reached out via phone at 575-758-6966 and via fax at 575-751-5211. You can also correspond with Erica Diane Medina through the mailing address at P O BOX 310001-0670, PASADENA, CA - 91110-0670 (mailing address contact number: 575-758-6966).

Location: 1090 Goat Springs Road, Taos, NM, 91110-0670
person
Provider Profile Details
NPI Number
1275000887
Provider Name
Erica Diane Medina
Credential
RDH
Provider Entity Type
Individual
Gender
Female
Address
1090 Goat Springs Road, Taos, NM, 91110-0670
Phone Number
575-758-6966
Fax Number
575-751-5211
Provider Enumeration Date
11/01/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K3543 05 NM
institution
Provider Business Practice Location Address Details
Address
1090 Goat Springs Road
City
State
Zip
87571
Phone Number
575-758-6966
Fax Number
575-751-5211
person
Provider Business Mailing Address Details
Address
1090 Goat Springs Road
City
State
Zip
87571
Phone Number
575-758-6966
Fax Number
575-751-5211
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
License No.
DH4180 (New Mexico)
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
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