AUSTIN TYLER EDDY

CHAPARRAL, NM
NPI1962081471
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CO  00205514)
Additional Taxonomies122300000X Dentist
(Licence: NM  DD5457)
Enumeration Date2021-04-03
Last Update Date2023-11-16
Business Address
AUSTIN TYLER EDDY DMD
510 E LISA DR
CHAPARRAL, NM 88081-7809
Phone number: 575-824-0128
Mailing Address
AUSTIN TYLER EDDY DMD
115 N BEECH ST
CORTEZ, CO 81321-3207
Phone number: 970-565-7275
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