| NPI | 1609176965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA M RIORDAN Manager/Dental Hygienist 505-565-0609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NM DH-373) |
| Additional Taxonomies | 122300000X Dentist (Licence: NM 1503) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2011-03-27 |