| NPI | 1154304038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES F LUNARDON President 575-887-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NM 1207) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2008-12-16 |