| NPI | 1942508643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELYSSA J HOOPES Dentist 505-425-7574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD3409) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |