| NPI | 1942355177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH EDWARD MCELMURRY President 505-522-2477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NM dd1331) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |