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Individual

KAPIL LADDHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
855 ANTHONY DR, ANTHONY, NM 88021
(575) 882-3607
(575) 882-2909
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1001465
WI
1223G0001X
General Practice Dentistry
Primary
37135
TX
1223G0001X
General Practice Dentistry
DD4829
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20789840
NM
Enumeration date
01/04/2017
Last updated
01/31/2023
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