| NPI | 1174992564 |
|---|---|
| Doing Business As | DBA CELEBRATE DENTAL AND BRACES |
| Entity Type | Organization |
| Authorized Contact | JONAH L FOUTZ Owner 505-550-0305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD3662) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |