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 |