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 |