| NPI | 1447548995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY TUCKER TRIGO President 575-647-4089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NM 1776) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |