Organization
CORONADO FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY CHIEM DDS (DR)
(505) 369-6451
Entity
Organization
Contact information
Practice address
11130 LOMAS BLVD NE STE F2, ALBUQUERQUE, NM 87112-5581
(505) 369-6451
Mailing address
11130 LOMAS BLVD NE STE F2, ALBUQUERQUE, NM 87112-5581
(505) 369-6451
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
11/13/2020
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