| NPI | 1215367941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE PADILLA Co Managing Partner 505-292-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM 2616) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2021-01-08 |