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Organization
MATHEW PETERSEN DDS PC
Active
Organization
MATHEW PETERSEN DDS PC
Active
Other names
Las Cruces Dental Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW PETERSEN DDS (CEO, PRINCIPAL)
(480) 233-6944
Entity
Organization
Contact information
Practice address
2001 E. LOHMAN AVE. SUITE 121, LAS CRUCES, NM 88001
(575) 527-4746
Mailing address
2001 E LOHMAN AVE, 121, LAS CRUCES, NM 88001-3167
(575) 527-4746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3330
NM
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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