| Denta Dental Llc | |
|
3313 N Grimes St Hobbs NM 88240-1219 | |
| (575) 392-4290 | |
| (575) 392-1982 |
| Full Name | Denta Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 3313 N Grimes St, Hobbs, New Mexico |
| Authorized Official Name and Position | Loi Ta (PRESIDENT) |
| Authorized Official Contact | 9016062355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denta Dental Llc 3313 N Grimes St Hobbs NM 88240-1219 Ph: (575) 392-4290 | Denta Dental Llc 3313 N Grimes St Hobbs NM 88240-1219 Ph: (575) 392-4290 |
| NPI Number | 1003532599 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 10/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003532599 | NPI | - | NPPES |
| 1912491218 | Other | NM | NPI I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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