NPI | 1649423773 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID JAMES MARTINEZ Dentist 505-314-0645 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NM 2427) |
Enumeration Date | 2008-11-03 |
Last Update Date | 2008-11-03 |