Most Relevant Information
Provider Data
| NPI Number: | 1003361841 |
| Provider Name: | DENA FAHLQUIST AUD |
| Entity Type: | Individual |
| Taxonomy Code: | 237600000X |
| Specialty: | Audiologist-Hearing Aid Fitter |
| License Number: | 6062 |
Most Important Dates
| Enumeration Date: | 08/22/2016 |
| Last Updated: | 08/22/2016 |
Provider Practice Location
415 CEDAR ST SE
ALBUQUERQUE
NM
871063927
Practice Location Phone/Fax
| Phone: | 5058425810 |
| Fax: | 5058425816 |
Provider Mailing Location
415 CEDAR ST SE
ALBUQUERQUE
NM
871063927
Provider Mailing Phone/Fax
| Phone: | 5058425810 |
| Fax: | 5058425816 |