| Orthodontics Lc3, Llc | |
|
920 N Telshor Blvd Las Cruces NM 88011-8277 | |
| (575) 521-0900 | |
| Not Available |
| Full Name | Orthodontics Lc3, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 920 N Telshor Blvd, Las Cruces, New Mexico |
| Authorized Official Name and Position | Keith C Coombs (OWNER) |
| Authorized Official Contact | 5755210900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthodontics Lc3, Llc 920 N Telshor Blvd Las Cruces NM 88011-8277 Ph: () - | Orthodontics Lc3, Llc 920 N Telshor Blvd Las Cruces NM 88011-8277 Ph: (575) 521-0900 |
| NPI Number | 1558946855 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 03/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558946855 | NPI | - | NPPES |
| DD4079 | Other | NM | NM DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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