Organization
SLEEP WELL NEW MEXICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIAN JAIME DDS (OWNER)
(505) 379-4810
Entity
Organization
Contact information
Practice address
10411 LAGRIMA DE ORO RD NE, ALBUQUERQUE, NM 87111-3727
(505) 379-4810
Mailing address
10411 LAGRIMA DE ORO RD NE, ALBUQUERQUE, NM 87111-3727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/19/2021
Last updated
11/15/2021
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