| NPI | 1538416854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E DARMITZEL Orthodontist 505-982-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NM DD3490) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2014-11-16 |