NPI | 1093767212 |
---|---|
Doing Business As | SUN ORTHODONTIX OF LAS CRUCES PLLC |
Entity Type | Organization |
Authorized Contact | JOHN G. VONDRAK Operating Manager 505-521-0900 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NM DD2276) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2011-12-19 |