| NPI | 1538278049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE G GARCIA Office Manager 505-454-8148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM 1701) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |