| NPI | 1639884463 |
|---|---|
| Doing Business As | ENDODONTIC ASSOCIATES OF ALBUQUERQUE |
| Entity Type | Organization |
| Authorized Contact | JOHN WALSH GALLEGOS Owner/Manager 505-331-6939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-01-17 |