| NPI | 1285647149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS CARLOS GALVAN President 505-855-7103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM 1463) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |