| NPI | 1184047961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J FARLEY Dentist/Managing Partner 505-564-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NM DD1297) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |