NPI | 1457521957 |
---|---|
Doing Business As | HIGH COUNTRY DENTAL |
Entity Type | Organization |
Authorized Contact | NAZARIO N YOUNG-TRUJILLO President 505-323-7700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DD2754) |
Enumeration Date | 2008-03-11 |
Last Update Date | 2008-03-12 |