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Organization
CRANIOFACIAL SLEEP MEDICINE AND TMJ OF NEW MEXICO, LLC
Active
Organization
CRANIOFACIAL SLEEP MEDICINE AND TMJ OF NEW MEXICO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC J COONTZ DDS,MS (OWNER/OPERATOR)
(505) 433-2107
Entity
Organization
Contact information
Practice address
8311 SAN PEDRO DR NE STE 3, ALBUQUERQUE, NM 87113-2540
(505) 433-2107
(505) 508-2674
Mailing address
8311 SAN PEDRO DR NE STE 3, ALBUQUERQUE, NM 87113-2540
(505) 433-2107
(505) 508-2674
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2021
Last updated
07/01/2021
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