| NPI | 1356690788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAKO M MAJOR Dentist/Owner 505-836-1076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NM DD3443) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |