NPI | 1346884335 |
---|---|
Entity Type | Organization |
Authorized Contact | MISTY M ABEYTA Billing 505-592-0482 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2019-11-01 |
Last Update Date | 2019-11-01 |