| NPI | 1083738918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CARROLL CASON President 505-434-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM 1227) |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2020-08-22 |