| NPI | 1376710483 |
|---|---|
| Former Legal Business Name | SANTA FE PLACE DENTAL PRACTICE LLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE GARRIS Senior Practice Manager 505-982-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2019-04-30 |