| NPI | 1275654410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES M SCHUMACHER Owner/Dentist 505-327-4863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM 1586) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2021-06-14 |