| NPI | 1255778874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRALUZ GONZALEZ Myofunctional Therapist 505-550-6042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NM DH12281) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-06-14 |