| NPI | 1326572751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID D WARREN President 575-524-5812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD1237) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2018-01-16 |