| NPI | 1780605469 |
|---|---|
| Doing Business As | OSTEOPOROSIS DIAGNOSTIC DENTER |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ALLEN DALE CEO 505-842-0218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: NM M0010521) |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |