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Organization
SANTA TERESA COSMETIC AND FAMILY DENTISTRY LLC
Active
Organization
SANTA TERESA COSMETIC AND FAMILY DENTISTRY LLC
Active
Other names
Santa Teresa Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
NOHA OUSHY EISSA DDS (DENTIST)
(575) 332-4047
Entity
Organization
Contact information
Practice address
103 LIVINGSTON LOOP UNIT B, SANTA TERESA, NM 88008-9762
(575) 332-4047
(575) 332-4201
Mailing address
103 LIVINGSTON LOOP UNIT B, SANTA TERESA, NM 88008-9762
(575) 332-4047
(575) 332-4201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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