Organization
PREMIER FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER ROGERS DMD (OWNER)
(469) 396-3063
Entity
Organization
Contact information
Practice address
5690 SANTA TERESITA DR STE A3, SANTA TERESA, NM 88008-9211
(575) 332-4535
Mailing address
5690 SANTA TERESITA DR STE A3, SANTA TERESA, NM 88008-9211
(575) 332-4535
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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