| NPI | 1215120910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANUS JEAN DE CUNAE President 505-869-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD2693) |
| Enumeration Date | 2007-08-26 |
| Last Update Date | 2011-05-25 |