| NPI | 1164547204 |
|---|---|
| Doing Business As | DIVINE DENTAL CENTRE |
| Entity Type | Organization |
| Authorized Contact | ESMAEL ROBERT VALDEZ Owner 505-454-8483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD2351) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |