Professional Dental Care Of Northern New Mexico Iii | |
2500 7th St Ste H Las Vegas NM 87701-4947 | |
(505) 718-9156 | |
Not Available |
Full Name | Professional Dental Care Of Northern New Mexico Iii |
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Speciality | Dentist - General Practice |
Location | 2500 7th St Ste H, Las Vegas, New Mexico |
Authorized Official Name and Position | Cary Lacouture (CLINICAL MANAGER) |
Authorized Official Contact | 3035215701 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Professional Dental Care Of Northern New Mexico Iii 10233 S Parker Rd Ste 107 Parker CO 80134-9314 Ph: (303) 521-5701 | Professional Dental Care Of Northern New Mexico Iii 2500 7th St Ste H Las Vegas NM 87701-4947 Ph: (505) 718-9156 |
NPI Number | 1033708235 |
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Provider Enumeration Date | 01/12/2021 |
Last Update Date | 01/12/2021 |
Identifier | Type | State | Issuer |
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1033708235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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