NPI | 1689876963 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN C MITCHELL Managing Partner 505-881-1130 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NM 02-256180-00-3) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2009-07-08 |