Agave Dental Bright Star Pllc
NPI #1275230518 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1275230518
- Entity Type
- Organization
- Organization Name
- Agave Dental Bright Star Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 7, 2023
- Last Updated
- Feb 7, 2023
Practice Location
- Address
- 2010 E LOHMAN AVE STE A
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88001-3109
- Phone
- (575) 526-4334
Authorized Official
- Name
- DR. JAKE WILLIAMS, DDS
- Title
- MEMBER
- Phone
- (385) 335-0928
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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