| NPI | 1508397555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE L ASHIDA Owner 575-526-5671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD2305) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |