Organization
LAS CRUCES DENTAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PETERSON DDS (OWNER)
(575) 541-0084
Entity
Organization
Contact information
Practice address
2001 E LOHMAN AVE STE 121, LAS CRUCES, NM 88001-3195
(575) 541-0084
(575) 541-0087
Mailing address
2001 E LOHMAN AVE STE 121, LAS CRUCES, NM 88001-3195
(575) 541-0084
(575) 541-0087
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD3330
CO
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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