| New Mexico Dental Institute Inc | |
|
204b Neel Ave Socorro NM 87801-4649 | |
| (575) 993-5032 | |
| (505) 226-9697 |
| Full Name | New Mexico Dental Institute Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 204b Neel Ave, Socorro, New Mexico |
| Authorized Official Name and Position | George Hanna (OWNER) |
| Authorized Official Contact | 5759935032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mexico Dental Institute Inc 204b Neel Ave Socorro NM 87801-4649 Ph: (575) 993-5032 | New Mexico Dental Institute Inc 204b Neel Ave Socorro NM 87801-4649 Ph: (575) 993-5032 |
| NPI Number | 1366101305 |
|---|---|
| Provider Enumeration Date | 12/16/2021 |
| Last Update Date | 12/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366101305 | NPI | - | NPPES |
| 89223829 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dr Marian T Lucero Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 Highway 60, Socorro, NM 87801 Phone: 505-835-2342 Fax: 505-835-2207 | |
Socorro Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 204b Neel Ave, Socorro, NM 87801 Phone: 267-318-6667 |