NPI | 1629729868 |
---|---|
Doing Business As | RAINALDI DENTAL |
Entity Type | Organization |
Authorized Contact | SILAS MATTHEW PORTER Owner/Dentist 505-259-1595 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-01-10 |
Last Update Date | 2022-01-13 |