| NPI | 1437223179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MICHAEL CITO Owner/Operator 505-298-5522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NM DD1194) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2023-01-19 |