| 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 |