| NPI | 1760671705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JENKINS President 505-830-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NM 2173) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NM 1137) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |