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Organization

COMFORT DENTAL OF CORONADO

Active
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Organization

COMFORT DENTAL OF CORONADO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SEAN S PHELAN DDS (DENTIST)
(505) 872-2772
Entity
Organization

Contact information

Practice address
5820 MENAUL BLVD. NE, ALBUQUERQUE, NM 87110-3238
(505) 872-2772
Mailing address
5820 MENAUL BLVD. NE, ALBUQUERQUE, NM 87110-3238
(505) 872-2772

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DD2712
NM

Other

Enumeration date
01/14/2008
Last updated
01/14/2008
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