| 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 |