| NPI | 1801074257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PRISHKULNIK Owner 505-428-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NM DD2707) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |