Organization
ON THE CUSP DENTAL STUDIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN B WAITES DDS (OWNER)
(509) 750-8899
Entity
Organization
Contact information
Practice address
200 MANZANARES AVE E, SOCORRO, NM 87801-4215
(575) 835-3662
(575) 838-1631
Mailing address
200 MANZANARES AVE E, SOCORRO, NM 87801-4215
(575) 835-3662
(575) 838-1631
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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