| NPI | 1457886913 |
|---|---|
| Doing Business As | LAS CRUCES DENTAL SOLUTIONS |
| Entity Type | Organization |
| Authorized Contact | MATHEW PETERSEN CEO, Principal 480-233-6944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD3330) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |