| NPI | 1831506831 |
|---|---|
| Former Legal Business Name | HALTOM ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | DARREN MICHAEL HALTOM Doctor/Owner 505-331-7473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NM DD2090) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2023-10-02 |