| NPI | 1013169614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J LARMOUR Owner 505-899-6979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: NM DD2870) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |