| NPI | 1891317426 |
|---|---|
| Former Legal Business Name | TASKER, HATCH, ROWAN, LLC |
| Entity Type | Organization |
| Authorized Contact | EBONIE GONZALES Credentialing Manager 505-850-3769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-07-06 |