NPI | 1750484853 |
---|---|
Other Name | DENTAL ASSOCIATES PA |
Entity Type | Organization |
Authorized Contact | DAVID A. SUDIMACK President 575-522-7320 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM NM2258) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NM NM1518) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2012-11-08 |