| NPI | 1134425895 |
|---|---|
| Doing Business As | SMILES FOR NM KIDS |
| Entity Type | Organization |
| Authorized Contact | EBONIE GONZALES Credentialing Manager 505-850-3769 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2022-06-16 |