Organization
DEMING SOUTHWEST DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA VALENTINA MARTINEZ MORALES DMD (MANAGER)
(407) 729-2361
Entity
Organization
Contact information
Practice address
710 S GOLD AVE, DEMING, NM 88030-4161
(575) 546-1400
(575) 546-1400
Mailing address
710 S GOLD AVE, DEMING, NM 88030-4161
(407) 729-2361
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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