| NPI | 1316963739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN G GOEBBEL President/Owner 505-892-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD1498) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NM DD1523) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |