Summit Family Dental of Kirtland, LLC
NPI #1710215439 in Kirtland, New Mexico
Provider Information
- NPI Number
- 1710215439
- Entity Type
- Organization
- Organization Name
- Summit Family Dental of Kirtland, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 19, 2009
- Last Updated
- Sep 30, 2020
Practice Location
- Address
- #3 CR 6523
- City
- Kirtland
- State
- New Mexico
- ZIP Code
- 87417
- Phone
- (505) 598-6800
Authorized Official
- Name
- DR. CODY B COLEMAN, DDS
- Title
- OWNER
- Phone
- (505) 598-6800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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