# SOUTHERN NEW MEXICO DENTAL GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hillrise Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174956676
- **Authorized official:** DR. ROBERTO BOBBY ESPINEZA DDS (OWNER)
- **Authorized official phone:** (575) 382-2054

## Contact information

- **Practice address:** 2455 S. TELSHOR, LAS CRUCES, NM 88011
- **Practice address phone:** (575) 522-0454
- **Practice address fax:** (575) 522-3472
- **Mailing address:** 2455 S. TELSHOR, LAS CRUCES, NM 88011
- **Mailing address phone:** (575) 522-0454
- **Mailing address fax:** (575) 522-3472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DD3462 | NM | Yes |

## Other

- **Enumeration date:** 08/20/2013
- **Last updated:** 11/20/2020