| NPI | 1215332754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEWART J ANDERSON Owner/Dentist 505-299-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NM DD3103) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |