Organization
LAS BRISAS ENTERPRISES, LLC
Active
Other names
A to Z Childrens Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHELLE R GALINDO (OFFICE MANAGER)
(505) 285-3443
Entity
Organization
Contact information
Practice address
1209 BONITA AVE SUITE A, GRANTS, NM 87020
(505) 285-3443
(505) 287-3418
Mailing address
1209 BONITA AVE SUITE A, GRANTS, NM 87020
(505) 285-3443
(505) 287-3418
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104898840
—
NM
05
—
1659362333
—
NM
Enumeration date
01/25/2018
Last updated
05/07/2025
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