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Individual

AOUS MANSHAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
575 S ALAMEDA BLVD, LAS CRUCES, NM 88005
(575) 528-6470
(575) 556-2930
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4632
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
98402315
NM
Enumeration date
02/08/2016
Last updated
07/26/2018
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