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 |