Organization
AUSTIN T EDDY DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN TYLER EDDY DMD (OWNER/DENTIST)
(435) 590-1795
Entity
Organization
Contact information
Practice address
115 N BEECH ST, CORTEZ, CO 81321-3207
(970) 565-7275
Mailing address
4708 LOMA BLANCA DR, EL PASO, TX 79934-4123
(435) 590-1795
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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