# AFFORDABLE DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Las Cruces Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366690216
- **Authorized official:** MRS. EILEEN AMBRIZ (PRACTICE MANAGER)
- **Authorized official phone:** (575) 541-0072

## Contact information

- **Practice address:** 1423 DON ROSER DR., LAS CRUCES, NM 88011-4515
- **Practice address phone:** (575) 541-0072
- **Practice address fax:** (575) 541-1908
- **Mailing address:** 1423 S DON ROSER DR, LAS CRUCES, NM 88011-4515
- **Mailing address phone:** (575) 541-0072
- **Mailing address fax:** (575) 541-1908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DD2601 | NM | Yes |

## Other

- **Enumeration date:** 09/04/2008
- **Last updated:** 04/24/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 21223025 | — | NM |