NPI | 1306973185 |
---|---|
Entity Type | Organization |
Authorized Contact | WARREN G. HOFFMAN President 505-983-4117 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM 1940) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2020-08-22 |