Organization
AFFORDABLE DENTAL
Active
Other names
Southwest Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
HARVEY REITER DMD (OWNER)
(575) 541-0072
Entity
Organization
Contact information
Practice address
301 E. LOHMAN, LAS CRUCES, NM 88001
(575) 524-4900
Mailing address
301 E. LOHMAN, LAS CRUCES, NM 88001
(575) 524-4900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2601
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21223025
—
NM
Enumeration date
09/03/2008
Last updated
04/28/2014
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