NPI | 1689950008 |
---|---|
Doing Business As | SANTA FE MODERN DENTISTRY AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | KELLEY HOLLINGSWORTH RYALS Owner Doctor 505-986-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2011-10-31 |
Last Update Date | 2013-12-31 |