| NPI | 1427016781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY ANN THURMOND Dentist 505-526-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NM DD1786) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-08-22 |