Organization
SANTA TERESA COSMETIC AND FAMILY DENTISTRY LLC
Active
Other names
Santa Teresa Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
NOHA OUSHY EISSA DDS (DENTIST)
(575) 332-4047
Entity
Organization
Contact information
Practice address
103 LIVINGSTON LOOP UNIT B, SANTA TERESA, NM 88008-9762
(575) 332-4047
(575) 332-4201
Mailing address
103 LIVINGSTON LOOP UNIT B, SANTA TERESA, NM 88008-9762
(575) 332-4047
(575) 332-4201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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