| NPI | 1023492337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ANN CRAWFORD Administrator 505-325-9133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NM DH4286) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |