Professional Dental Care of Southern Nm I Pllc

NPI #1306415955 in Portales, New Mexico

Provider Information

NPI Number: 1306415955
Entity Type: Organization
Organization Name: Professional Dental Care of Southern Nm I Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: PROFESSIONAL DENTAL CARE PLLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 18, 2021
Last Updated: Jun 18, 2021

Practice Location

Address: 123 W 2ND ST
City: Portales
State: New Mexico
ZIP Code: 88130-6201
Phone: (575) 448-8863

Authorized Official

Name: CARY LACOUTURE, DDS
Title: CLINICAL DIRECTOR
Phone: (303) 521-5701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. Peter L Thompson, D.D.S.	Dentist - General Practice	Portales	AI Deep Dive
Aaron Mark Standing, DMD	Dentist - General Practice	Portales	AI Deep Dive
DR. Gangadhar Immanni, DDS	Dentist - General Practice	Portales	AI Deep Dive

Organizations

Provider Name	Specialty	City
Dental Designs, PC	Dentist - General Practice	Portales	AI Deep Dive
Full Smile Eastern Family Dentistry, Pllc	Dentist - General Practice	Portales	AI Deep Dive

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