New Mexico
Regulation & Licensing Department
Crystanel R. Ballard, DA
Dental Assistant
License number
DA4700
Date granted
03/21/2013
Date expires
06/30/2015
Class
Dental Assistant
Status
Active
Address
Flora Vista, NM, 87415
licensingnm.com
ID 4319423
LAST UPDATED 2024-02-28 20:03:17 UTC
LAST UPDATED 2024-02-28 20:03:17 UTC
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