| Las Brisas Enterprises, Llc | |
|
1209 Bonita Ave Suite A Grants NM 87020 | |
| (505) 285-3443 | |
| (505) 287-3418 |
| Full Name | Las Brisas Enterprises, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1209 Bonita Ave Suite A, Grants, New Mexico |
| Authorized Official Name and Position | Rachelle R Galindo (OFFICE MANAGER) |
| Authorized Official Contact | 5052853443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Brisas Enterprises, Llc 1209 Bonita Ave Suite A Grants NM 87020 Ph: (505) 285-3443 | Las Brisas Enterprises, Llc 1209 Bonita Ave Suite A Grants NM 87020 Ph: (505) 285-3443 |
| NPI Number | 1396243390 |
|---|---|
| Provider Enumeration Date | 01/25/2018 |
| Last Update Date | 05/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396243390 | NPI | - | NPPES |
| 1104898840 | Medicaid | NM | |
| 1659362333 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
A To Z Children's Dental Clinic, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 E High St, Grants, NM 87020 Phone: 505-876-1065 | |
Patricia B. Valdivia D.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1209 Bonita St, Grants, NM 87020 Phone: 505-876-4034 Fax: 505-876-4036 | |
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920 Lobo Canyon Grants Professional, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Lobo Canyon Rd, Grants, NM 87020 Phone: 505-722-4422 | |
Jeffrey Ray Mattila, D.d.s,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Lincoln Ave, Grants, NM 87020 Phone: 505-287-2000 | |
Derrick Baca Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1209 Bonita St, Grants, NM 87020 Phone: 505-876-4034 Fax: 505-876-4036 |