| NPI | 1275965568 |
|---|---|
| Doing Business As | FAMILY & COSMETIC DENTAL DESIGN |
| Entity Type | Organization |
| Authorized Contact | COLIN A FORDE General Dentist 505-883-3722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD3583) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2014-11-07 |