Organization
CRANIOFACIAL SLEEP MEDICINE AND TMJ OF NEW MEXICO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC J COONTZ DDS,MS (OWNER/OPERATOR)
(505) 433-2107
Entity
Organization
Contact information
Practice address
8311 SAN PEDRO DR NE STE 3, ALBUQUERQUE, NM 87113-2540
(505) 433-2107
(505) 508-2674
Mailing address
8311 SAN PEDRO DR NE STE 3, ALBUQUERQUE, NM 87113-2540
(505) 433-2107
(505) 508-2674
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2021
Last updated
07/01/2021
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