Individual
AHSLEY W. SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
HIDALGO MEDICAL SERVICES, 530 DEMOSS STREET, LORDSBURG, NM 88045-2632
(505) 542-8384
(505) 542-8387
Mailing address
HIDALGO MEDICAL SERVICES, 530 DEMOSS STREET, LORDSBURG, NM 88045-2632
(505) 542-8384
(505) 542-8387
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2640
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87422875
—
NM
Enumeration date
10/07/2005
Last updated
07/08/2007
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