Organization
DR CLAY N COLEMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYTON NOYES COLEMAN JR. DMD (PRESIDENT)
(505) 758-9338
Entity
Organization
Contact information
Practice address
104 CRUZ ALTA RD, SUITE FE, TAOS, NM 87571
(505) 758-9338
(505) 758-0705
Mailing address
PO BOX 517, RANCHOS DE TAOS, NM 87557-0517
(505) 758-9338
(505) 758-0705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1229
NM
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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