Most Relevant Information
Provider Data
| NPI Number: | 1003310053 |
| Provider Name: | ERIN O'NEAL |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 7039 |
Most Important Dates
| Enumeration Date: | 03/22/2018 |
| Last Updated: | 10/17/2024 |
Provider Practice Location
2001 CENTRO FAMILIAR BLVD SW
ALBUQUERQUE
NM
871054592
Practice Location Phone/Fax
| Phone: | 5058737400 |
| Fax: |
Provider Mailing Location
PO BOX 912678
DENVER
CO
802912678
Provider Mailing Phone/Fax
| Phone: | 5052415182 |
| Fax: |