# LAURA COMEAU DDS PC

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

## Provider details

- **NPI number:** 1962718213
- **Authorized official:** DR. LAURA COMEAU DDS (DENTIST)
- **Authorized official phone:** (303) 921-4847

## Contact information

- **Practice address:** 2100 CALLE DE LA VUELTA UNIT E105, SANTA FE, NM 87505-4819
- **Practice address phone:** (505) 570-9578
- **Mailing address:** 2100 CALLE DE LA VUELTA UNIT E105, SANTA FE, NM 87505-4819
- **Mailing address phone:** (505) 570-9578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DD2797 | NM | Yes |

## Other

- **Enumeration date:** 08/25/2010
- **Last updated:** 08/25/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 77532 | — | NM |
| 01 | — | 9184626 | DORAL | NM |