| NPI | 1497033310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO SAMANIEGO President 575-437-7473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0700X Dentist, Prosthodontics | |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2012-04-16 |