| On The Cusp Dental Studio, Llc | |
|
200 Manzanares Ave E Socorro NM 87801-4215 | |
| (575) 835-3662 | |
| (575) 838-1631 |
| Full Name | On The Cusp Dental Studio, Llc |
|---|---|
| Speciality | Dentist |
| Location | 200 Manzanares Ave E, Socorro, New Mexico |
| Authorized Official Name and Position | Benjamin B Waites (OWNER) |
| Authorized Official Contact | 5097508899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| On The Cusp Dental Studio, Llc 200 Manzanares Ave E Socorro NM 87801-4215 Ph: (575) 835-3662 | On The Cusp Dental Studio, Llc 200 Manzanares Ave E Socorro NM 87801-4215 Ph: (575) 835-3662 |
| NPI Number | 1457278640 |
|---|---|
| Provider Enumeration Date | 06/30/2026 |
| Last Update Date | 06/30/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457278640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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