| NPI | 1801963939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL J JAMES Office Manager 505-598-9085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NM NMDD1931) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |