| NPI | 1467942474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE ELIZABETH ADAMS Owner 505-293-2211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD3510) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-07-16 |