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 |