CRANIOFACIAL SLEEP MEDICINE AND TMJ OF NEW MEXICO LLC NPI 1891372389

NPI Information

CRANIOFACIAL SLEEP MEDICINE AND TMJ OF NEW MEXICO, LLC is a dental clinic center in Albuquerque, NM. CRANIOFACIAL SLEEP MEDICINE AND TMJ OF NEW MEXICO, LLC NPI is 1891372389. The provider is registered as an organization entity type.

The provider's business location address is:

8311 SAN PEDRO DR NE STE 3
ALBUQUERQUE, NM
ZIP 87113-540
Phone: (505) 433-2107
Fax: (505) 508-2674

The provider's authorized official is Eric J Coontz .
The authorized official title is Owner/operator and has the following contact phone number (505) 433-2107.

The enumeration date for this NPI number is 3/29/2021 and was last updated on 7/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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