| NPI | 1265644413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE E. LAKIND President 505-988-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM 1937431) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |