Carabelli Dental | |
824 N Main St Roswell NM 88201-4969 | |
(575) 622-4455 | |
Not Available |
Full Name | Carabelli Dental |
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Speciality | Clinic/Center |
Location | 824 N Main St, Roswell, New Mexico |
Authorized Official Name and Position | Keon Ahghar (SOLE OWNER) |
Authorized Official Contact | 5055531332 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Carabelli Dental 824 N Main St Roswell NM 88201-4969 Ph: (575) 622-4455 | Carabelli Dental 824 N Main St Roswell NM 88201-4969 Ph: (575) 622-4455 |
NPI Number | 1437654837 |
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Provider Enumeration Date | 03/27/2018 |
Last Update Date | 04/11/2024 |
Medicare PECOS PAC ID | 0446683528 |
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Medicare Enrollment ID | O20191203002060 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437654837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DD4275 (New Mexico) | Secondary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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