Organization
SOUTWEST FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARVEY S REITER D.D.S (OWNER)
(575) 541-0072
Entity
Organization
Contact information
Practice address
301 E LOHMAN AVE, LAS CRUCES, NM 88001-3667
(575) 524-4900
(575) 524-8300
Mailing address
301 E LOHMAN AVE, LAS CRUCES, NM 88001-3667
(575) 524-4900
(575) 524-8300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2601
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21223025
—
NM
Enumeration date
04/29/2008
Last updated
04/29/2008
Update your record
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