| NPI | 1295961571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER L MARIANETTI Dr./Business Owner 505-293-6705 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM 1467) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |