| NPI | 1639537533 |
|---|---|
| Doing Business As | LAS ESTANCIAS DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MARIO HERREJON-RUIZ Owner Dentist 505-209-9081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |