Organization
LAS CRUCES DENTAL HYGIENISTS CLINIC LLC
Active
Organization
LAS CRUCES DENTAL HYGIENISTS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA A LOPEZ RDH (OWNER/HYGIENIST)
(915) 355-7666
Entity
Organization
Contact information
Practice address
4111 CAMINO COYOTE, LAS CRUCES, NM 88011
(575) 562-6767
(575) 562-6464
Mailing address
1463 PIONEER RDG, EL PASO, TX 79912-8163
(915) 842-0439
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
DH1388
NM
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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