Organization
ORTIZ FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMON MOISES ORTIZ DDS (OWNER)
(402) 659-6617
Entity
Organization
Contact information
Practice address
2141 HAMMERAND CT STE B, LAS CRUCES, NM 88011-8250
(575) 521-8720
Mailing address
2141 HAMMERAND CT STE B, LAS CRUCES, NM 88011-8250
(575) 521-8720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DD2903
NM
1223G0001X
General Practice Dentistry
Primary
DD2908
NM
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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