| NPI | 1083748016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID NOYES Owner 505-352-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NM DD2523) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-07-29 |