Organization
TASKER HATCH ROWAN LLC
Active
Other names
Children's Dental Clinic of Las Cruces
Organization subpart
No
Provider details
NPI number
Authorized official
EBONIE GONZALES (CREDENTIALING MANAGER)
(505) 850-3769
Entity
Organization
Contact information
Practice address
1901 CALLE DE NINOS, LAS CRUCES, NM 88005-3293
(575) 526-5522
(575) 523-5312
Mailing address
325 S HIGLEY RD #130, GILBERT, AZ 85296
(505) 850-3769
(505) 890-2949
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD3168
—
Other
Enumeration date
07/10/2014
Last updated
05/17/2022
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