| NPI | 1003250531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M SLAMAN Owner 505-881-7586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NM DD1744) |
| Additional Taxonomies | 122300000X Dentist (Licence: NM DD2953) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |