Organization
JANUS J. DE CUNAE, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANUS JEAN DE CUNAE DDS (PRESIDENT)
(505) 869-6500
Entity
Organization
Contact information
Practice address
2280 BOSQUE FARMS BLVD, BOSQUE FARMS, NM 87068-9334
(505) 869-6500
(505) 869-4036
Mailing address
2280 BOSQUE FARMS BLVD, BOSQUE FARMS, NM 87068-9334
(505) 869-6500
(505) 869-4036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2693
NM
Other
Enumeration date
08/26/2007
Last updated
05/25/2011
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