Organization
AFFORDABLE DENTAL LLC
Active
Other names
Las Cruces Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EILEEN AMBRIZ (PRACTICE MANAGER)
(575) 541-0072
Entity
Organization
Contact information
Practice address
1423 DON ROSER DR., LAS CRUCES, NM 88011-4515
(575) 541-0072
(575) 541-1908
Mailing address
1423 S DON ROSER DR, LAS CRUCES, NM 88011-4515
(575) 541-0072
(575) 541-1908
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2601
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21223025
—
NM
Enumeration date
09/04/2008
Last updated
04/24/2012
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