| NPI | 1023344181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TORNOW Dentist/Owner 505-326-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD2287) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2014-05-27 |