| Kidskare P.c. | |
|
1405 S Valley Dr Ste 200 Las Cruces NM 88005-3132 | |
| (575) 532-5437 | |
| (575) 532-1005 |
| Full Name | Kidskare P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1405 S Valley Dr Ste 200, Las Cruces, New Mexico |
| Authorized Official Name and Position | William Curtis Woolf (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 7192427210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidskare P.c. 1405 S Valley Dr Ste 200 Las Cruces NM 88005-3132 Ph: (575) 532-5437 | Kidskare P.c. 1405 S Valley Dr Ste 200 Las Cruces NM 88005-3132 Ph: (575) 532-5437 |
| NPI Number | 1316937964 |
|---|---|
| Provider Enumeration Date | 10/25/2005 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316937964 | NPI | - | NPPES |
| 907446 | Medicaid | AZ | |
| J1471 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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