License holder summary

Tenise S Fragua, DA is a Dental Assistant licensed to practice in New Mexico. The address on file for Tenise S Fragua, DA is Jemez Pueblo, NM, 87024. This licensed professional license is not current. The license was granted 12/16/2004 and expired on 06/30/2013.

New Mexico

Regulation & Licensing Department

Tenise S Fragua, DA
Dental Assistant
License number
DA2743
Date granted
12/16/2004
Date expires
06/30/2013
Class
Dental Assistant
Status
Revoked
Address
Jemez Pueblo, NM, 87024
licensingnm.com
ID 4328993
LAST UPDATED 2024-01-26 00:05:21 UTC

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