| Dental Associates Pa | |
|
2205 S Solano Dr Las Cruces NM 88001 | |
| (505) 522-7320 | |
| (505) 522-6395 |
| Full Name | Dental Associates Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2205 S Solano Dr, Las Cruces, New Mexico |
| Authorized Official Name and Position | David A. Sudimack (PRESIDENT) |
| Authorized Official Contact | 5755227320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Associates Pa 2205 S Solano Dr Las Cruces NM 88001 Ph: (505) 522-7320 | Dental Associates Pa 2205 S Solano Dr Las Cruces NM 88001 Ph: (505) 522-7320 |
| NPI Number | 1750484853 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 11/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750484853 | NPI | - | NPPES |
| 8403 | Other | NM | BLUE CROSS BLUE SHIELD |
| 806920 | Other | UNITED CONCORDIA INS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | NM1518 (New Mexico) | Secondary |
| 1223G0001X | Dentist - General Practice | NM2258 (New Mexico) | Primary |
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