| NPI | 1073973251 |
|---|---|
| Doing Business As | TLC DENTAL |
| Entity Type | Organization |
| Authorized Contact | LOUIS R BUSH Dentist 505-259-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NM DD2580) |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-03-01 |