| 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 |