| Las Cruces Dental Associates, Pc | |
|
2569 E Idaho Ave # A Las Cruces NM 88011-4578 | |
| (575) 523-1479 | |
| (575) 523-2974 |
| Full Name | Las Cruces Dental Associates, Pc |
|---|---|
| Speciality | Dentist |
| Location | 2569 E Idaho Ave # A, Las Cruces, New Mexico |
| Authorized Official Name and Position | Mario J. Samaniego (OWNER) |
| Authorized Official Contact | 5755231479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Cruces Dental Associates, Pc 2569 E Idaho Ave # A Las Cruces NM 88011-4578 Ph: (575) 523-1479 | Las Cruces Dental Associates, Pc 2569 E Idaho Ave # A Las Cruces NM 88011-4578 Ph: (575) 523-1479 |
| NPI Number | 1043233430 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 11/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043233430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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