| Las Cruces Dental Solutions | |
|
2001 E. Lohman Ave. Suite 121 Las Cruces NM 88001 | |
| (575) 527-4746 | |
| Not Available |
| Full Name | Las Cruces Dental Solutions |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2001 E. Lohman Ave. Suite 121, Las Cruces, New Mexico |
| Authorized Official Name and Position | Mathew Petersen (CEO, PRINCIPAL) |
| Authorized Official Contact | 4802336944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Cruces Dental Solutions 2001 E Lohman Ave 121 Las Cruces NM 88001-3167 Ph: (575) 527-4746 | Las Cruces Dental Solutions 2001 E. Lohman Ave. Suite 121 Las Cruces NM 88001 Ph: (575) 527-4746 |
| NPI Number | 1457886913 |
|---|---|
| Provider Enumeration Date | 04/21/2017 |
| Last Update Date | 04/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457886913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DD3330 (New Mexico) | Primary |
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