NPI | 1003168022 |
---|---|
Doing Business As | COTTONWOOD SMILES DENTISTRY AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | MARISOL KING Owner Doctor 505-244-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2012-10-15 |
Last Update Date | 2022-02-07 |