| NPI | 1396138038 |
|---|---|
| Doing Business As | ENCHANTED HILLS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MARIO HERREJON-RUIZ Owner Doctor 505-867-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-31 |