NPI | 1437697125 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN CUNNINGHAM Member 575-993-3454 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM 2643) |
Enumeration Date | 2017-02-02 |
Last Update Date | 2017-02-02 |