| Santa Teresa Smiles | |
|
103 Livingston Loop Unit B Santa Teresa NM 88008-9762 | |
| (575) 332-4047 | |
| (575) 332-4201 |
| Full Name | Santa Teresa Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 103 Livingston Loop Unit B, Santa Teresa, New Mexico |
| Authorized Official Name and Position | Noha Oushy Eissa (DENTIST) |
| Authorized Official Contact | 5753324047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Teresa Smiles 103 Livingston Loop Unit B Santa Teresa NM 88008-9762 Ph: (575) 332-4047 | Santa Teresa Smiles 103 Livingston Loop Unit B Santa Teresa NM 88008-9762 Ph: (575) 332-4047 |
| NPI Number | 1295215713 |
|---|---|
| Provider Enumeration Date | 08/14/2018 |
| Last Update Date | 08/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295215713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Stf Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5805 Mcnutt Rd, Santa Teresa, NM 88008 Phone: 213-200-5023 |