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Organization

GOUD STOCK CORPORATION, LLC

Active
Other names
Copper Canyon Family Dentistry, Sandia Park Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SETH STOCKTON DMD (MEMBER)
(505) 888-3392
Entity
Organization

Contact information

Practice address
6830 MONTGOMERY BLVD NE STE A, ALBUQUERQUE, NM 87109-1455
(505) 830-9081
Mailing address
PO BOX 1409, SANDIA PARK, NM 87047-1409

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
06/13/2024
Last updated
06/13/2024
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