| NPI | 1518163583 |
|---|---|
| Former Legal Business Name | ROGER C GARTZ DDS PA |
| Entity Type | Organization |
| Authorized Contact | LAURA D HEISCH Dentist 505-672-1336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |