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Individual

RAHUL SHAMAPANTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
8600 BATAAN MEMORIAL E, LAS CRUCES, NM 88011
(575) 382-2112
(575) 382-5064
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3734
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15403238
NM
Enumeration date
08/08/2012
Last updated
08/29/2018
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