| Sonoma Family Dental, Llc | |
|
3015 Hillrise Dr Las Cruces NM 88011-4703 | |
| (575) 522-0454 | |
| Not Available |
| Full Name | Sonoma Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3015 Hillrise Dr, Las Cruces, New Mexico |
| Authorized Official Name and Position | Cory Thompson (OWNER) |
| Authorized Official Contact | 5755220454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonoma Family Dental, Llc 3340 Rinconada Blvd Suite B Las Cruces NM 88011 Ph: (575) 522-0454 | Sonoma Family Dental, Llc 3015 Hillrise Dr Las Cruces NM 88011-4703 Ph: (575) 522-0454 |
| NPI Number | 1942636113 |
|---|---|
| Provider Enumeration Date | 09/19/2013 |
| Last Update Date | 09/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942636113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DD3462 (New Mexico) | Primary |
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