| NPI | 1083411433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER OKI Director Of Clinical Education 505-658-8236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223D0004X Dentist Dentist Anesthesiologist | |
| 1223E0200X Dentist Endodontics | |
| 1223P0700X Dentist Prosthodontics | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| 1223P0106X Dentist Oral and Maxillofacial Pathology | |
| 1223P0221X Dentist Pediatric Dentistry | |
| 1223P0300X Dentist Periodontics | |
| 1223X0008X Dentist Oral and Maxillofacial Radiology | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-02-25 |