| NPI | 1760604219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET ANTOINETTE MARTINEZ Dental Hygienist 505-756-2901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NM DH 1522) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |