Organization
LAS CRUCES DENTAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATHEW CHARLES PETERSEN DDS (MANAGING MEMBER)
(575) 527-4746
Entity
Organization
Contact information
Practice address
2001 E LOHMAN AVE STE 121, LAS CRUCES, NM 88001-3195
(575) 527-4746
(575) 904-7152
Mailing address
2001 E LOHMAN AVE STE 121, LAS CRUCES, NM 88001-3195
(575) 527-4746
(575) 904-7152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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