NPI 1013193622

Comfort Dental of Coronado

Organisation Dental Clinic/Center Albuquerque, NM

Practice location

Address: 5820 Menaul Blvd. NE, Albuquerque, NM 87110-3238
Phone: (505) 872-2772

Authorised official

Name: Sean S Phelan
Title: Dentist
Phone: (505) 872-2772

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence DD2712 (NM)

Other Clinic/Center providers in New Mexico →

Registry record

NPI: 1013193622
Entity type: Organization
NPI issued: 14 Jan 2008
Record last updated: 14 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.