| NPI | 1427004340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN B ROHOLT President 505-292-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NM 1307) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |