| NPI | 1295849792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN M. SMITH Owner/President 575-624-2095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NM NM1575) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2021-03-29 |