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Individual

DR. IRIS MARIA KOHLMANN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DDS, MSD

Contact information

Practice address
10820 COMANCHE RD NE, SUITE A, ALBUQUERQUE, NM 87111-3983
(505) 296-0761
(505) 296-7543
Mailing address
10820 COMANCHE RD NE, SUITE A, ALBUQUERQUE, NM 87111-3983
(505) 296-0761
(505) 296-7543

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DD2414
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9177623
NM
Enumeration date
10/13/2005
Last updated
07/08/2007
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