| NPI | 1578684205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL H RIVERA General Manager & Partner 505-758-0531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NM 1670) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |