| NPI | 1720491210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA PLESE Dental Hygiene Program Director 505-881-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NM 921) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |