NPI 1447481775

Las Cruces Dental Hygienists Clinic LLC

Organisation Exclusive Provider Organization Las Cruces, NM

Practice location

Address: 4111 Camino Coyote, Las Cruces, NM 88011
Phone: (575) 562-6767
Fax: (575) 562-6464
Mailing address: 1463 Pioneer Rdg, El Paso, TX 79912-8163

Authorised official

Name: Linda a Lopez
Title: Owner/Hygienist
Phone: (915) 355-7666

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence DH1388 (NM)

Other Exclusive Provider Organization providers in New Mexico →

Registry record

NPI: 1447481775
Entity type: Organization
NPI issued: 4 Aug 2009
Record last updated: 4 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.