Organization
COMFORT DENTAL OF CORONADO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN S PHELAN DDS (DENTIST)
(505) 872-2772
Entity
Organization
Contact information
Practice address
5820 MENAUL BLVD. NE, ALBUQUERQUE, NM 87110-3238
(505) 872-2772
Mailing address
5820 MENAUL BLVD. NE, ALBUQUERQUE, NM 87110-3238
(505) 872-2772
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DD2712
NM
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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