Organization
MATHEW PETERSEN DDS PC
Active
Other names
Las Cruces Dental Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW PETERSEN DDS (CEO, PRINCIPAL)
(480) 233-6944
Entity
Organization
Contact information
Practice address
2001 E. LOHMAN AVE. SUITE 121, LAS CRUCES, NM 88001
(575) 527-4746
Mailing address
2001 E LOHMAN AVE, 121, LAS CRUCES, NM 88001-3167
(575) 527-4746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3330
NM
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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