Provider Demographics
NPI:1487091054
Name:FLORKO, ISABEL (RDH)
Entity type:Individual
Prefix:MRS
First Name:ISABEL
Middle Name:
Last Name:FLORKO
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ISABEL
Other - Last Name:PATTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RDH
Mailing Address - Street 1:2573 STATE HIGHWAY 522
Mailing Address - Street 2:
Mailing Address - City:QUESTA
Mailing Address - State:NM
Mailing Address - Zip Code:87556
Mailing Address - Country:US
Mailing Address - Phone:755-860-3155
Mailing Address - Fax:575-586-0519
Practice Address - Street 1:2573 STATE HIGHWAY 522
Practice Address - Street 2:
Practice Address - City:QUESTA
Practice Address - State:NM
Practice Address - Zip Code:87556
Practice Address - Country:US
Practice Address - Phone:575-586-0315
Practice Address - Fax:575-586-0519
Is Sole Proprietor?:No
Enumeration Date:2013-05-23
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDH4019124Q00000X
MI2902015279124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist