Organization
DUKE CITY PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMERA PAGE COFFMAN DDS (OWNER DENTIST)
(505) 433-3366
Entity
Organization
Contact information
Practice address
8220 LOUISIANA BLVD NE, SUITE A, ALBUQUERQUE, NM 87113
(303) 868-6117
(505) 369-1828
Mailing address
8220 LOUISIANA BLVD NE, SUITE A, ALBUQUERQUE, NM 87113
(303) 868-6117
(505) 369-1828
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DD3279
NM
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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