NPI | 1245506609 |
---|---|
Doing Business As | HIGH DESERT DENTAL |
Entity Type | Organization |
Authorized Contact | GARY M ROSS President 505-888-2606 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD1387) |
Enumeration Date | 2012-03-29 |
Last Update Date | 2012-03-29 |