| NPI | 1528295888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLY BARKLEY President/CEO 505-363-3435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NM DH-1351) |
| Enumeration Date | 2009-06-14 |
| Last Update Date | 2009-06-14 |