| NPI | 1922618446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIGIA ELENA PADILLA Orthodontist 505-569-6639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-10-02 |