| NPI | 1497828115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERLINDA QUINTANA Consultant 505-292-1582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NM 2322) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |