| NPI | 1154637767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA G SALAZAR Regional Director Of Operations 505-898-3884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM dd1292) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |