Pediatric Dental Specialist of New Mexico LLC
NPI #1154624401 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1154624401
- Entity Type
- Organization
- Organization Name
- Pediatric Dental Specialist of New Mexico LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Dec 8, 2010
- Last Updated
- Dec 8, 2010
Practice Location
- Address
- 2450 SOUTH TELSHOR
- Address 2
- MEMORIAL MEDICAL HOSPITAL
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88011-7594
- Phone
- (575) 621-0800
Authorized Official
- Name
- DR. PETER ANDREW HAYES, DMD, MS.
- Title
- PEDIATRIC DENTAL SPECIALIST
- Phone
- (575) 621-0800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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