Organization
HIGHLANDS FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELYSSA J HOOPES DMD (DENTIST)
(505) 425-7574
Entity
Organization
Contact information
Practice address
711 6TH ST, LAS VEGAS, NM 87701-4352
(505) 425-7574
(505) 425-7554
Mailing address
711 6TH ST, LAS VEGAS, NM 87701-4352
(505) 425-7574
(505) 425-7554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3409
NM
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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