| Soutwest Family Dental, Llc | |
|
301 E Lohman Ave Las Cruces NM 88001-3667 | |
| (575) 524-4900 | |
| (575) 524-8300 |
| Full Name | Soutwest Family Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 301 E Lohman Ave, Las Cruces, New Mexico |
| Authorized Official Name and Position | Harvey S Reiter (OWNER) |
| Authorized Official Contact | 5755410072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soutwest Family Dental, Llc 301 E Lohman Ave Las Cruces NM 88001-3667 Ph: (575) 524-4900 | Soutwest Family Dental, Llc 301 E Lohman Ave Las Cruces NM 88001-3667 Ph: (575) 524-4900 |
| NPI Number | 1699940742 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699940742 | NPI | - | NPPES |
| 21223025 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DD2601 (New Mexico) | Primary |
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