| NPI | 1841484763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY CUTTRELL Chief Assistant Professor 505-925-7797 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD2136) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2012-05-08 |