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 |