| NPI | 1639234883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA CORAZZI GRABOWSKI President Owner 505-995-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NM DH246) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |