| NPI | 1215243985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J HARNICK Dentist/Orthodontist 505-831-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NM 1141) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-31 |