| NPI | 1326038563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J. O'CONNELL Pres. Corp. 505-546-2684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM 1072) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-08-22 |