Warren & Law Dental, Llc | |
4141 Camino Coyote Ste A Las Cruces NM 88011-3001 | |
(575) 524-5812 | |
(575) 524-7710 |
Full Name | Warren & Law Dental, Llc |
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Speciality | Dentist |
Location | 4141 Camino Coyote Ste A, Las Cruces, New Mexico |
Authorized Official Name and Position | David D Warren (PRESIDENT) |
Authorized Official Contact | 5755245812 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Warren & Law Dental, Llc 4141 Camino Coyote Ste A Las Cruces NM 88011-3001 Ph: (575) 524-5812 | Warren & Law Dental, Llc 4141 Camino Coyote Ste A Las Cruces NM 88011-3001 Ph: (575) 524-5812 |
NPI Number | 1326572751 |
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Provider Enumeration Date | 04/12/2017 |
Last Update Date | 01/16/2018 |
Medicare PECOS PAC ID | 6305193079 |
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Medicare Enrollment ID | O20180726001052 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326572751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DD1237 (New Mexico) | Primary |
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