| NPI | 1861456477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA W ARNHART President 505-897-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM 1892) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-08-22 |