NPI | 1841803830 |
---|---|
Doing Business As | SONRISA FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | BRENTON M MASON Member 505-301-4267 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-08-28 |
Last Update Date | 2020-08-28 |