# PERFECT TEETH - COTTONWOOD P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Perfect Teeth - Cottonwood P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477674513
- **Authorized official:** LAURIE SUMMERS (CREDENTIALING)
- **Authorized official phone:** (303) 285-6098

## Contact information

- **Practice address:** 10250 COTTONWOOD PARK NW, SUITE 100, ALBUQUERQUE, NM 87114
- **Practice address phone:** (505) 890-0858
- **Practice address fax:** (505) 890-1402
- **Mailing address:** 10250 COTTONWOOD PARK NW, SUITE 100, ALBUQUERQUE, NM 87114
- **Mailing address phone:** (505) 890-0858
- **Mailing address fax:** (505) 890-1402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1398 | NM | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 08/22/2020