| 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 |