BONGMIN AN

LAS CRUCES, NM
NPI1497960561
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NM  DD5580)
Enumeration Date2007-05-11
Last Update Date2022-07-19
Business Address
BONGMIN AN DDS
1748 S TRIVIZ DR
LAS CRUCES, NM 88001-5103
Phone number: 575-522-1983
Mailing Address
BONGMIN AN DDS
1748 S TRIVIZ DR
LAS CRUCES, NM 88001-5103
Phone number: 575-522-1983
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