| NPI | 1386243640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C RAWSON Chief Operating Officer 505-888-3520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |