NPI | 1437938479 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXIS DE LEON Assistant Manager 575-208-2380 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 261QD0000X Clinic/Center Dental |
Enumeration Date | 2023-09-28 |
Last Update Date | 2023-10-24 |