Individual
ERIN O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 87105-4592
(505) 873-7400
Mailing address
PO BOX 27561 DEPT#31117, ALBUQUERQUE, NM 87125-7561
(505) 873-7423
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7039
LA
1223G0001X
General Practice Dentistry
Primary
DD5351
NM
390200000X
Student in an Organized Health Care Education/Training Program
TD-00-105
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
03/22/2018
Last updated
03/06/2026
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