| NPI | 1679879043 |
|---|---|
| Doing Business As | LA CASA SCHOOL DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SEFERINO MONTANO CEO 575-356-6695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |