| NPI | 1881086809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE C. MAYFIELD President 575-392-7565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2017-04-06 |