| NPI | 1164694287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS TORREBIARTE Orthodontist 505-766-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NM DD1985) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |