Organization
LAS ESTANCIAS DENTAL GROUP, PROFESSIONAL CORPORATION
Active
Other names
Las Estancias Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO HERREJON-RUIZ DMD (OWNER DENTIST)
(505) 209-9081
Entity
Organization
Contact information
Practice address
3715 LAS ESTANCIAS WAY SW, 101, ALBUQUERQUE, NM 87121-5506
(505) 209-9081
(505) 792-6111
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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