| NPI | 1992066419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BOWERS Owner, Dentist 505-884-6408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD3421) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |