New Mexico
Regulation & Licensing Department
Michelle Lyn Fazio, DA
Dental Assistant
License number
DA3026
Date granted
04/17/2006
Date expires
06/30/2008
Class
Dental Assistant
Status
Revoked
Address
Albuquerque, NM, 87109
licensingnm.com
ID 4328142
LAST UPDATED 2024-02-29 17:29:12 UTC
LAST UPDATED 2024-02-29 17:29:12 UTC
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