Organization
ADAY ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH C. COOMBS DDS, MS (PRESIDENT)
(575) 522-1500
Entity
Organization
Contact information
Practice address
2701 MISSOURI AVE., SUITE D, LAS CRUCES, NM 88011
(575) 522-1500
(575) 521-1529
Mailing address
2701 MISSOURI AVE., SUITE D, LAS CRUCES, NM 88011
(575) 522-1500
(575) 521-1529
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1186
NM
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4079
NM
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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