| Craniofacial Sleep Medicine And Tmj Of New Mexico, Llc | |
|
8311 San Pedro Dr Ne Ste 3 Albuquerque NM 87113-2540 | |
| (505) 433-2107 | |
| (505) 508-2674 |
| Full Name | Craniofacial Sleep Medicine And Tmj Of New Mexico, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8311 San Pedro Dr Ne Ste 3, Albuquerque, New Mexico |
| Authorized Official Name and Position | Eric J Coontz (OWNER/OPERATOR) |
| Authorized Official Contact | 5054332107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craniofacial Sleep Medicine And Tmj Of New Mexico, Llc 8311 San Pedro Dr Ne Ste 3 Albuquerque NM 87113-2540 Ph: (505) 433-2107 | Craniofacial Sleep Medicine And Tmj Of New Mexico, Llc 8311 San Pedro Dr Ne Ste 3 Albuquerque NM 87113-2540 Ph: (505) 433-2107 |
| NPI Number | 1891372389 |
|---|---|
| Provider Enumeration Date | 03/29/2021 |
| Last Update Date | 07/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891372389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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