| NPI | 1790957850 |
|---|---|
| Doing Business As | CENTER FOR DENTAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | PAT WARTELL Owner 505-474-4644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD1971) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-07-29 |