| NPI | 1710972567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A MCNEILL Pres 505-326-2611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NM 1123) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2007-11-20 |