| NPI | 1548669294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC M SMITH Owner 505-865-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |