# ORTIZ FAMILY DENTAL, LLC

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

## Provider details

- **NPI number:** 1750531091
- **Authorized official:** DR. RAMON MOISES ORTIZ DDS (OWNER)
- **Authorized official phone:** (402) 659-6617

## Contact information

- **Practice address:** 2141 HAMMERAND CT STE B, LAS CRUCES, NM 88011-8250
- **Practice address phone:** (575) 521-8720
- **Mailing address:** 2141 HAMMERAND CT STE B, LAS CRUCES, NM 88011-8250
- **Mailing address phone:** (575) 521-8720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DD2903 | NM | — |
| 1223G0001X | General Practice Dentistry | DD2908 | NM | Yes |

## Other

- **Enumeration date:** 09/23/2008
- **Last updated:** 09/23/2008