Morningstar Family Dental, Llc | |
1005 Main St Sw Los Lunas NM 87031-8310 | |
(505) 865-9438 | |
Not Available |
Full Name | Morningstar Family Dental, Llc |
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Speciality | Clinic/center - Dental |
Location | 1005 Main St Sw, Los Lunas, New Mexico |
Authorized Official Name and Position | Mary Ann Lucero (DENTIST) |
Authorized Official Contact | 5055068659 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Morningstar Family Dental, Llc 1005 Main St Sw Los Lunas NM 87031-8310 Ph: (505) 865-9438 | Morningstar Family Dental, Llc 1005 Main St Sw Los Lunas NM 87031-8310 Ph: (505) 865-9438 |
NPI Number | 1700362589 |
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Provider Enumeration Date | 07/16/2018 |
Last Update Date | 07/16/2018 |
Identifier | Type | State | Issuer |
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1700362589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DD1879 (New Mexico) | Primary |
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