Organization
DENTA DENTAL LLC
Active
Other names
Denta Dental of Hobbs
Organization subpart
No
Provider details
NPI number
Authorized official
LOI TA DDS (PRESIDENT)
(901) 606-2355
Entity
Organization
Contact information
Practice address
3313 N GRIMES ST, HOBBS, NM 88240-1219
(575) 392-4290
(575) 392-1982
Mailing address
3313 N GRIMES ST, HOBBS, NM 88240-1219
(575) 392-4290
(575) 392-1982
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912491218
NPI I
NM
Enumeration date
10/17/2022
Last updated
10/17/2022
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