| NPI | 1932206026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY ESPINOSA Office Manager 505-294-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM NM2547) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |