Austin Tyler Eddy, DMD

NPI #1962081471 in Chaparral, New Mexico

Provider Information

NPI Number: 1962081471
Entity Type: Individual
Name: Austin Tyler Eddy, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Apr 3, 2021
Last Updated: Nov 16, 2023

Practice Location

Address: 510 E LISA DR
City: Chaparral
State: New Mexico
ZIP Code: 88081-7809
Phone: (575) 824-0128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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