Organization
LAS CRUCES DENTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO J. SAMANIEGO DDS (OWNER)
(575) 523-1479
Entity
Organization
Contact information
Practice address
2569 E IDAHO AVE # A, LAS CRUCES, NM 88011-4578
(575) 523-1479
(575) 523-2974
Mailing address
2569 E IDAHO AVE # A, LAS CRUCES, NM 88011-4578
(575) 523-1479
(575) 523-2974
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/26/2006
Last updated
11/10/2016
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