| NPI | 1770893646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND KENT SANCHEZ Owner 505-864-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD3285) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2012-07-31 |