NPI | 1063557007 |
---|---|
Entity Type | Organization |
Authorized Contact | RENEE TRUJILLO President/Owner 505-526-0888 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NM 2171) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2022-07-25 |