Access Dental of Triviz LLC
Organization Active NPI General Practice Dentistry · Las Cruces, NM
NPI 1972256865 · NPPES record last updated Oct 27, 2022
Key facts
- NPI
- 1972256865
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- ACCESS DENTAL OF TRIVIZ LLC
- Practice address
- 1748 S Triviz Dr
Las Cruces, NM 88001-5103 - Phone
- (575) 522-1983
- Fax
- (575) 522-3435
- NPI assigned
- Jan 31, 2022
- Organization subpart
- No
Authorized official
- Name
- Raul Carrillo
- Title
- Regional Director
- Phone
- (469) 242-0743
Practitioners 1
-
Bongmin An, DDS
National Provider Directory
Locations
1748 S Triviz Dr
Las Cruces, NM 88001
Phone (575) 522-1983
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
1748 S Triviz Dr
Las Cruces, NM 88001-5103
Mailing address
1748 S Triviz Dr
Las Cruces, NM 88001-5103
Phone (575) 522-1983
Other providers in Las Cruces, NM
- Jelena Abundis
- Farqad Kamal Abuoudeh
- Taher Abusalloum
- Genelyn Geronimo Acacio
- Accent on Health Medical Associates, Inc.
- Accredo Care LLC
- Accutech Family Eye Care
- Perla Dayana Acevedo
- Howard M Achen
- Achieve Together
All providers in Las Cruces, NM · General Practice Dentistry in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.