| NPI | 1386813087 |
|---|---|
| Other Name | COMMUNITY DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JANE BATSON Division Chair 575-624-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-07-10 |