| 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 |