| NPI | 1154624401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ANDREW HAYES Pediatric Dental Specialist 575-621-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NM DD2233) |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |