NPI | 1295277903 |
---|---|
Doing Business As | LEGACY DENTAL |
Entity Type | Organization |
Authorized Contact | STEWART ANDERSON Partner 505-314-6526 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NM DD3103) |
Enumeration Date | 2016-11-11 |
Last Update Date | 2016-11-11 |