| NPI | 1235300237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY R MCGEE President 505-821-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: NM 2698) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |