| NPI | 1366690216 |
|---|---|
| Doing Business As | LAS CRUCES FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | EILEEN AMBRIZ Practice Manager 575-541-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NM DD2601) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2012-04-24 |