ERIC J COONTZ DDS - Dentist License in New Mexico | # 021001132

ERIC J COONTZ DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001132

License Status

INACTIVE

Business

N

First Name

ERIC

Middle

J

Last Name

COONTZ

Suffix

DDS

Business Name

ERIC J COONTZ DDS

Original Issue Date

07/16/1982

Effective Date

07/16/1982

Expiration Date

09/30/2006

State

NM

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

07/24/2006