| NPI | 1700907995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANN RISHER Office Manager 505-793-4976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NM DD2551) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |