| NPI | 1720305105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A BORRERO President 505-603-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NM DD3017) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |