| NPI | 1922586262 |
|---|---|
| Doing Business As | ADVANCED ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | SHANE T CLARK Doctor/Owner 505-797-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NM DD4100) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |