NPI | 1790153484 |
---|---|
Doing Business As | VALENCIA FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | TIMOTHY J SMITH Owner 505-865-9788 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2015-09-11 |
Last Update Date | 2019-05-21 |