NPI | 1740662709 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIDGET R. BURRIS President 575-522-1983 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NM 1551) |
Enumeration Date | 2015-06-25 |
Last Update Date | 2015-06-25 |