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Organization
STOCKTON 22, INC.
Active
Organization
STOCKTON 22, INC.
Active
Other names
Copper Canyon Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
SETH STOCKTON (OWNER)
(505) 830-9081
Entity
Organization
Contact information
Practice address
6830 MONTGOMERY BLVD NE, SUITE A, ALBUQUERQUE, NM 87109-1456
(505) 830-9081
(505) 830-9086
Mailing address
6830 MONTGOMERY BLVD NE, SUITE A, ALBUQUERQUE, NM 87109-1456
(505) 830-9081
(505) 830-9086
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/07/2015
Last updated
10/14/2016
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