Santa Teresa Cosmetic and Family Dentistry LLC
NPI #1295215713 in Santa Teresa, New Mexico
Provider Information
- NPI Number
- 1295215713
- Entity Type
- Organization
- Organization Name
- Santa Teresa Cosmetic and Family Dentistry LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 14, 2018
- Last Updated
- Aug 14, 2018
Practice Location
- Address
- 103 LIVINGSTON LOOP UNIT B
- City
- Santa Teresa
- State
- New Mexico
- ZIP Code
- 88008-9762
- Phone
- (575) 332-4047
Authorized Official
- Name
- NOHA OUSHY EISSA, DDS
- Title
- DENTIST
- Phone
- (575) 332-4047
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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