Organization
CENTER FOR TMJ & SLEEP DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EILEEN RAE AMBRIZ (CLINIC ADMINSTRATOR)
(575) 541-0072
Entity
Organization
Contact information
Practice address
1423 S 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
122300000X
Dentist
Primary
—
NM
332B00000X
Durable Medical Equipment & Medical Supplies
NM2601
NM
Other
Enumeration date
08/26/2013
Last updated
09/19/2013
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