Organization
NM DENTAL SLEEP THERAPY LLC
Active
Other names
Koala Center for Sleep Disorders NM-1
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC COONTZ DDS (OWNER)
(505) 433-2107
Entity
Organization
Contact information
Practice address
8311 SAN PEDRO DR NE, SUITE 3, ALBUQUERQUE, NM 87113-2540
(505) 433-2107
(505) 516-0556
Mailing address
8311 SAN PEDRO DR NE, SUITE 3, ALBUQUERQUE, NM 87113-2540
(505) 433-2107
(505) 516-0556
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4383
NM
Other
Enumeration date
09/03/2015
Last updated
09/23/2015
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