| Janus J. De Cunae, Dds, Llc | |
|
2280 Bosque Farms Blvd Bosque Farms NM 87068-9334 | |
| (505) 869-6500 | |
| (505) 869-4036 |
| Full Name | Janus J. De Cunae, Dds, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2280 Bosque Farms Blvd, Bosque Farms, New Mexico |
| Authorized Official Name and Position | Janus Jean De Cunae (PRESIDENT) |
| Authorized Official Contact | 5058696500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Janus J. De Cunae, Dds, Llc 2280 Bosque Farms Blvd Bosque Farms NM 87068-9334 Ph: (505) 869-6500 | Janus J. De Cunae, Dds, Llc 2280 Bosque Farms Blvd Bosque Farms NM 87068-9334 Ph: (505) 869-6500 |
| NPI Number | 1215120910 |
|---|---|
| Provider Enumeration Date | 08/26/2007 |
| Last Update Date | 05/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215120910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DD2693 (New Mexico) | Primary |
Bosque Family And Cosmetic Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2280 Bosque Farms Blvd, Bosque Farms, NM 87068 Phone: 505-869-6500 Fax: 505-869-4036 | |
Nmbfd Ltd Dental Clinic Medicare: Medicare Enrolled Practice Location: 1430 Bosque Farms Blvd, Bosque Farms, NM 87068 Phone: 505-869-2371 |