Lea County Dental | |
701 N Main Ave Lovington NM 88260-3417 | |
(408) 306-8365 | |
Not Available |
Full Name | Lea County Dental |
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Speciality | Dentist - General Practice |
Location | 701 N Main Ave, Lovington, New Mexico |
Authorized Official Name and Position | Nishanth Reddy Puchalapalli (DENTIST) |
Authorized Official Contact | 4083068365 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lea County Dental 701 N Main Ave Lovington NM 88260-3417 Ph: (408) 306-8365 | Lea County Dental 701 N Main Ave Lovington NM 88260-3417 Ph: (408) 306-8365 |
NPI Number | 1679931356 |
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Provider Enumeration Date | 02/09/2016 |
Last Update Date | 02/12/2016 |
Identifier | Type | State | Issuer |
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1679931356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |