Organization
LAS CRUCES DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO SAMANIEGO DDS (PRESIDENT)
(575) 437-7473
Entity
Organization
Contact information
Practice address
1022 9TH ST, ALAMOGORDO, NM 88310-6470
(575) 437-7473
(575) 437-0079
Mailing address
1022 9TH ST, ALAMOGORDO, NM 88310-6470
(575) 437-7473
(575) 437-0079
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
07/26/2011
Last updated
04/16/2012
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