Organization · Type 2 NPI

Las Brisas Enterprises, LLC

Dental Clinic/Center · Grants, NM

NPI number 1396243390 Active

Practice location

1209 Bonita Ave Suite A
Grants, NM 87020

Fax (505) 287-3418

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1396243390

Las Brisas Enterprises, LLC's National Provider Identifier is 1396243390, issued on Jan 25, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Grants, NM. The record was last updated on May 7, 2025.