| NPI | 1467851527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATEM AKWON EDWIN REED Owner 505-821-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM dd3305) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |