University Family Dental Pc | |
705 E University Ave Ste B Las Cruces NM 88001-5637 | |
(575) 521-0127 | |
(575) 647-9533 |
Full Name | University Family Dental Pc |
---|---|
Speciality | Dentist |
Location | 705 E University Ave Ste B, Las Cruces, New Mexico |
Authorized Official Name and Position | Kimberly H Martin (DENTIST) |
Authorized Official Contact | 5755210127 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
University Family Dental Pc 705 E University Ave Ste B Las Cruces NM 88001-5637 Ph: (575) 521-0127 | University Family Dental Pc 705 E University Ave Ste B Las Cruces NM 88001-5637 Ph: (575) 521-0127 |
NPI Number | 1396174116 |
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Provider Enumeration Date | 11/02/2013 |
Last Update Date | 11/02/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396174116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2317 (New Mexico) | Primary |
122300000X | Dentist | 2498 (New Mexico) | Secondary |
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