| NPI | 1366501116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK M. PACHECO Dentist 505-988-5850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM 1073) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2020-08-22 |