| NPI | 1629127105 |
|---|---|
| Other Name | ORTHODONTIC PRACTICE |
| Entity Type | Organization |
| Authorized Contact | EMILY J GARCIA Office Manager 505-884-5610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2022-07-21 |