# JANUS J. DE CUNAE, DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215120910
- **Authorized official:** DR. JANUS JEAN DE CUNAE DDS (PRESIDENT)
- **Authorized official phone:** (505) 869-6500

## Contact information

- **Practice address:** 2280 BOSQUE FARMS BLVD, BOSQUE FARMS, NM 87068-9334
- **Practice address phone:** (505) 869-6500
- **Practice address fax:** (505) 869-4036
- **Mailing address:** 2280 BOSQUE FARMS BLVD, BOSQUE FARMS, NM 87068-9334
- **Mailing address phone:** (505) 869-6500
- **Mailing address fax:** (505) 869-4036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DD2693 | NM | Yes |

## Other

- **Enumeration date:** 08/26/2007
- **Last updated:** 05/25/2011