| Agave Dental Bright Star Pllc | |
|
2010 E Lohman Ave Ste A Las Cruces NM 88001-3109 | |
| (575) 526-4334 | |
| (575) 526-7863 |
| Full Name | Agave Dental Bright Star Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2010 E Lohman Ave Ste A, Las Cruces, New Mexico |
| Authorized Official Name and Position | Jake Williams (MEMBER) |
| Authorized Official Contact | 3853350928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agave Dental Bright Star Pllc 2010 E Lohman Ave Ste A Las Cruces NM 88001-3109 Ph: (575) 526-4334 | Agave Dental Bright Star Pllc 2010 E Lohman Ave Ste A Las Cruces NM 88001-3109 Ph: (575) 526-4334 |
| NPI Number | 1275230518 |
|---|---|
| Provider Enumeration Date | 02/07/2023 |
| Last Update Date | 02/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275230518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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