| Center For Tmj & Sleep Dentistry Llc | |
|
1423 S Don Roser Dr Las Cruces NM 88011-4515 | |
| (575) 541-0072 | |
| (575) 541-1908 |
| Full Name | Center For Tmj & Sleep Dentistry Llc |
|---|---|
| Speciality | Dentist |
| Location | 1423 S Don Roser Dr, Las Cruces, New Mexico |
| Authorized Official Name and Position | Eileen Rae Ambriz (CLINIC ADMINSTRATOR) |
| Authorized Official Contact | 5755410072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Tmj & Sleep Dentistry Llc 1423 S Don Roser Dr Las Cruces NM 88011-4515 Ph: (575) 541-0072 | Center For Tmj & Sleep Dentistry Llc 1423 S Don Roser Dr Las Cruces NM 88011-4515 Ph: (575) 541-0072 |
| NPI Number | 1366876419 |
|---|---|
| Provider Enumeration Date | 08/26/2013 |
| Last Update Date | 09/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366876419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (New Mexico) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | NM2601 (New Mexico) | Secondary |
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