| NPI | 1558994582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY MAE NAVARRO RAWSON Pediatric Dentist, Owner 505-888-3520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |