| NPI | 1134289838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET T BRYANT President 800-886-6751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: NM DD1432) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: NM DD629) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-07-29 |