Organization
SOUTHWEST PERIODONTAL AND IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA C MERRITT (INSURANCE COORDINATOR)
(575) 522-2477
Entity
Organization
Contact information
Practice address
3045 E UNIVERSITY AVE STE A, LAS CRUCES, NM 88011-9147
(575) 522-2477
(575) 521-3556
Mailing address
3045 E UNIVERSITY AVE STE A, LAS CRUCES, NM 88011-9147
(575) 522-2477
(575) 521-3556
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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