# LAS CRUCES DENTAL SOLUTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346952942
- **Authorized official:** DR. MATHEW CHARLES PETERSEN DDS (MANAGING MEMBER)
- **Authorized official phone:** (575) 527-4746

## Contact information

- **Practice address:** 2001 E LOHMAN AVE STE 121, LAS CRUCES, NM 88001-3195
- **Practice address phone:** (575) 527-4746
- **Practice address fax:** (575) 904-7152
- **Mailing address:** 2001 E LOHMAN AVE STE 121, LAS CRUCES, NM 88001-3195
- **Mailing address phone:** (575) 527-4746
- **Mailing address fax:** (575) 904-7152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2022
- **Last updated:** 12/15/2022