institution
Las Brisas Enterprises, Llc
Dental Clinic/Center in Grants, New Mexico
NPI 1396243390

Las Brisas Enterprises, Llc is a Dental Clinic/Center based in Grants, NM and is specialized in Dental. Las Brisas Enterprises, Llc practices in Grants, NM. The NPI Number for Las Brisas Enterprises, Llc is 1396243390 and holds a License No. (New Mexico).

The current practice location address for Las Brisas Enterprises, Llc is 1209 Bonita Ave Suite A, Grants, NM and can be reached out via phone at 505-285-3443 and via fax at 505-287-3418.

Location: 1209 Bonita Ave Suite A, Grants, NM, 87020
institution
Provider Profile Details
NPI Number
1396243390
Provider Name
Las Brisas Enterprises, Llc
Credential
Provider Entity Type
Organization
Address
1209 Bonita Ave Suite A, Grants, NM, 87020
Phone Number
505-285-3443
Fax Number
505-287-3418
Provider Enumeration Date
01/25/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1659362333 05 NM
1104898840 05 NM
institution
Provider Business Practice Location Address Details
Address
1209 Bonita Ave Suite A
City
State
Zip
87020
Phone Number
505-285-3443
Fax Number
505-287-3418
person
Provider Business Mailing Address Details
Address
1209 Bonita Ave Suite A
City
State
Zip
87020
Phone Number
505-285-3443
Fax Number
505-287-3418
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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