Individual
DR. LAURA MICHELLE COMEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1406 LUISA ST, SUITE 1, SANTA FE, NM 87505-4012
(505) 988-5850
Mailing address
1406 LUISA ST, SUITE 1, SANTA FE, NM 87505-4012
(505) 988-5850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2797
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77532
—
NM
01
—
9184626
DORAL
NM
Enumeration date
10/02/2006
Last updated
07/28/2009
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