NPI | 1376953547 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES R BROWN Operations Manager 575-627-0141 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NM DD2615) |
Additional Taxonomies | 122300000X Dentist (Licence: NM DD3488) |
Enumeration Date | 2014-04-28 |
Last Update Date | 2024-09-19 |