| NPI | 1982062048 |
|---|---|
| Doing Business As | SANTA FE DENTIST OFFICE |
| Entity Type | Organization |
| Authorized Contact | KELLEY HOLLINGSWORTH RYALS Owner Dentist 505-209-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2022-02-07 |