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Organization
BRYCE HEINER, DMD, MD, LLC
Active
Organization
BRYCE HEINER, DMD, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYCE HEINER DMD, MD (CEO)
(575) 522-8800
Entity
Organization
Contact information
Practice address
2103 TELSHOR CT, LAS CRUCES, NM 88011-8245
(575) 522-8800
Mailing address
2103 TELSHOR CT, LAS CRUCES, NM 88011-8245
(575) 522-8800
(575) 522-8800
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
DD3068
NM
Other
Enumeration date
06/29/2010
Last updated
05/27/2026
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