Professional Dental Care of Northern New Mexico III
Professional Dental Care of Northern New Mexico III provides General Practice Dentistry in Las Vegas, New Mexico. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2500 7th St Ste HLas Vegas, NM 87701-4947
Phone: (505) 718-9156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1033708235 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Ssun Health, LLC |
| Authorized official | Cary Lacouture — Clinical Manager · (303) 521-5701 |
| Other names | Divine Dental Center |
| NPI enumerated | January 12, 2021 |
| Last updated in NPPES | January 12, 2021 |
| Certification date | January 12, 2021 |
| Mailing address | 10233 S Parker Rd Ste 107, Parker, CO 80134-9314 |
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Esmael Valdez, DDS, PC
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Dr. Elyssa Jo Hoopes, DMD
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Dr. Eric M Pacheco, DDS
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Randall E Garcia Ddsc
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San Miguel Dental
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Dr. Stephen H Taylor, DDS
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