| NPI | 1265837546 |
|---|---|
| Other Name | SANTA FE |
| Entity Type | Organization |
| Authorized Contact | EVELIA MANCERA Dentist 915-240-4174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 2643666) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |