Individual provider · Type 1 NPI

Selene Mata, RDH

Dental Hygienist · Las Cruces, NM

NPI number 1245624030 Active

Practice location

385 Calle De Alegra, Building C
Las Cruces, NM 88005-3423

Call (575) 532-1933 Map

Mailing address

PO Box 13725
Las Cruces, NM 88013-3725

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X3683 (NM)

Dental Hygienist: 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…

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About NPI 1245624030

Selene Mata, RDH's National Provider Identifier is 1245624030, issued on Mar 19, 2015. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Las Cruces, NM. The record was last updated on Mar 19, 2015.