NPI | 1528436326 |
---|---|
Doing Business As | SPRING RIVER DENTAL |
Entity Type | Organization |
Authorized Contact | MICHELE CARTER Dentist/Owner 575-622-3012 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2015-09-10 |
Last Update Date | 2015-09-10 |