| NPI | 1144657081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL A. HODGE-SPENCER Owner 505-697-3315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 13827) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |