| NPI | 1659460137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH B. MECKLER President 505-878-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NM DD1993) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NM DD1838) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |