| Las Cruces Dental Solutions Llc | |
|
2001 E Lohman Ave Ste 121 Las Cruces NM 88001-3195 | |
| (575) 527-4746 | |
| (575) 904-7152 |
| Full Name | Las Cruces Dental Solutions Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2001 E Lohman Ave Ste 121, Las Cruces, New Mexico |
| Authorized Official Name and Position | Mathew Charles Petersen (MANAGING MEMBER) |
| Authorized Official Contact | 5755274746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Cruces Dental Solutions Llc 2001 E Lohman Ave Ste 121 Las Cruces NM 88001-3195 Ph: (575) 527-4746 | Las Cruces Dental Solutions Llc 2001 E Lohman Ave Ste 121 Las Cruces NM 88001-3195 Ph: (575) 527-4746 |
| NPI Number | 1346952942 |
|---|---|
| Provider Enumeration Date | 12/15/2022 |
| Last Update Date | 12/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346952942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Las Cruces Dental Solutions Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 E Lohman Ave Ste 121, Las Cruces, NM 88001 Phone: 575-541-0084 Fax: 575-541-0087 |