| NPI | 1598133803 |
|---|---|
| Doing Business As | KOALA CENTER FOR SLEEP DISORDERS NM-1 |
| Entity Type | Organization |
| Authorized Contact | ERIC COONTZ Owner 505-433-2107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NM DD4383) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-23 |