Provider Demographics
NPI:1194424556
Name:DENTAL INNOVATIONS INC
Entity type:Organization
Organization Name:DENTAL INNOVATIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DENTAL HYGIENIST
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ARROYOS
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:575-635-5648
Mailing Address - Street 1:1131 MED PARK DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-3238
Mailing Address - Country:US
Mailing Address - Phone:575-639-2048
Mailing Address - Fax:
Practice Address - Street 1:1131 MED PARK DR
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-3238
Practice Address - Country:US
Practice Address - Phone:575-639-2048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty