New Mexico
Regulation & Licensing Department
Samantha A. Black, DA
Dental Assistant
License number
DA4871
Date granted
09/23/2013
Date expires
06/30/2016
Class
Dental Assistant
Status
Active
Address
Albuquerque, NM, 87109
licensingnm.com
ID 4320628
LAST UPDATED 2026-05-23 00:47:19 UTC
LAST UPDATED 2026-05-23 00:47:19 UTC
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