Organization
UNIVERSITY FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY H MARTIN DMD (DENTIST)
(575) 521-0127
Entity
Organization
Contact information
Practice address
705 E UNIVERSITY AVE STE B, LAS CRUCES, NM 88001-5637
(575) 521-0127
(575) 647-9533
Mailing address
705 E UNIVERSITY AVE STE B, LAS CRUCES, NM 88001-5637
(575) 521-0127
(575) 647-9533
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2317
NM
122300000X
Dentist
2498
NM
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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