| NPI | 1942624655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES TASKER Owner 505-892-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2014-02-17 |