Organization
DESERT ELITE FAMILY DENTAL PLLC
Active
Other names
Desert Dental, Elite Dental, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZIAR MINOOFAR DMD (PRESIDENT/DMD)
(323) 205-6294
Entity
Organization
Contact information
Practice address
1300 EL PASEO RD STE N, LAS CRUCES, NM 88001-6039
(323) 205-6294
Mailing address
1531 GEORGE DIETER DR APT 1004, EL PASO, TX 79936-7673
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/02/2018
Last updated
06/16/2018
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