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Organization
AU CROWN ENTERPRISES LLC
Active
Organization
AU CROWN ENTERPRISES LLC
Active
Other names
Carabelli Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEON AHGHAR DDS (SOLE OWNER)
(505) 553-1332
Entity
Organization
Contact information
Practice address
824 N MAIN ST, ROSWELL, NM 88201-4969
(575) 622-4455
Mailing address
824 N MAIN ST, ROSWELL, NM 88201-4969
(575) 622-4455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DD4275
NM
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2018
Last updated
04/11/2024
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