Search › New Mexico › 1041C0700X
Andrea Mata
NPI 1093231821 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2540 N Telshor Blvd Ste C
Las Cruces, NM 88011 - Phone
- (575) 405-2351
- Organisation at this address
- Northrise Dental Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico