| NPI | 1376275818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIGIA ELENA PADILLA Orthodontist 505-569-6639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-06-24 |