| NPI | 1386882843 |
|---|---|
| Former Legal Business Name | PATRICIA ROBERTS DDS |
| Entity Type | Organization |
| Authorized Contact | DONNAMARIE R HAYAS Office Manager 505-984-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD1209) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-01-21 |