| Tanya Sue Maestas, DDS | |
|
510 E Lisa Dr, Chaparral, NM 88081-7809 | |
| (575) 824-0128 | |
| Not Available |
| Full Name | Tanya Sue Maestas |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 510 E Lisa Dr, Chaparral, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801448964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DD5147 (New Mexico) | Primary |
| 1223G0001X | Dentist - General Practice | 37400 (Texas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Tanya Sue Maestas, DDS 385 Calle De Alegra Ste A, Las Cruces, NM 88005-3423 Ph: (575) 526-1105 | Tanya Sue Maestas, DDS 510 E Lisa Dr, Chaparral, NM 88081-7809 Ph: (575) 824-0128 |
Kapil Mangla, Dentist Medicare: Medicare Enrolled Practice Location: 510 E Lisa Dr, Chaparral, NM 88081 Phone: 575-824-0128 Fax: 575-824-0179 | |
Bharani Kumar Bhattu, Dentist Medicare: Not Enrolled in Medicare Practice Location: 510 E Lisa Dr, Chaparral, NM 88081 Phone: 575-824-0128 Fax: 575-824-0179 | |
Austin Tyler Eddy, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 510 E Lisa Dr, Chaparral, NM 88081 Phone: 575-824-0128 Fax: 575-824-0179 |