| NPI | 1548425481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ZARIKTA Dentist 575-762-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM dd1216) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |