| NPI | 1831447093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY H HYDEN Owner/Dental Hygienist 575-302-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NM DH535) |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2012-08-20 |