NPI | 1942749775 |
---|---|
Doing Business As | HONEST TOOTH FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | OMAR ALEXES PEREYRA Owner/Dentist 505-323-7966 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NM 4062) |
Enumeration Date | 2017-02-13 |
Last Update Date | 2017-02-13 |