| Southwest Periodontal And Implants | |
|
3045 E University Ave Ste A Las Cruces NM 88011-9147 | |
| (575) 522-2477 | |
| (575) 521-3556 |
| Full Name | Southwest Periodontal And Implants |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3045 E University Ave Ste A, Las Cruces, New Mexico |
| Authorized Official Name and Position | Angela C Merritt (INSURANCE COORDINATOR) |
| Authorized Official Contact | 5755222477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Periodontal And Implants 3045 E University Ave Ste A Las Cruces NM 88011-9147 Ph: (575) 522-2477 | Southwest Periodontal And Implants 3045 E University Ave Ste A Las Cruces NM 88011-9147 Ph: (575) 522-2477 |
| NPI Number | 1972118685 |
|---|---|
| Provider Enumeration Date | 09/10/2020 |
| Last Update Date | 09/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972118685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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