Organization
PERFECT TEETH / COORS & CENTRAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE K. ARBUCKLE (CREDENTIALING MANAGER)
(303) 285-6098
Entity
Organization
Contact information
Practice address
6660 CENTRAL AVE SW, ALBUQUERQUE, NM 87121
(505) 833-0033
(505) 833-0044
Mailing address
6660 CENTRAL AVE SW, ALBUQUERQUE, NM 87121
(505) 833-0033
(505) 833-0044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/18/2015
Last updated
09/28/2015
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