| NPI | 1528437258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHODIE L LONG-JONES Dental Hygienist & Administrator 505-515-8156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NM DH-2518) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2016-04-29 |