| NPI | 1194039743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD MICHAEL PARCO Owner And Pediatric Dentist 575-526-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |