| NPI | 1386309870 |
|---|---|
| Doing Business As | SUNDANCE DENTAL CARE OF GALLUP |
| Entity Type | Organization |
| Authorized Contact | PETER GRMBOS Owner/Dentist 505-722-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-11-01 |