New Mexico
Regulation & Licensing Department
Geraldine Freda Blackgoat, DA
Dental Assistant
License number
DA3023
Date granted
04/17/2006
Date expires
06/30/2008
Class
Dental Assistant
Status
Revoked
Address
Albuquerque, NM, 87111
licensingnm.com
ID 4320688
LAST UPDATED 2026-07-09 11:51:42 UTC
LAST UPDATED 2026-07-09 11:51:42 UTC
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