Organization
LAURA COMEAU DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA COMEAU DDS (DENTIST)
(303) 921-4847
Entity
Organization
Contact information
Practice address
2100 CALLE DE LA VUELTA UNIT E105, SANTA FE, NM 87505-4819
(505) 570-9578
Mailing address
2100 CALLE DE LA VUELTA UNIT E105, SANTA FE, NM 87505-4819
(505) 570-9578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2797
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77532
—
NM
01
—
9184626
DORAL
NM
Enumeration date
08/25/2010
Last updated
08/25/2010
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