| NPI | 1437514858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J CANDELARIA Dentist Owner 505-891-3190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NM 2298) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |