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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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