NPI | 1992226401 |
---|---|
Doing Business As | FAMILY CHOICE DENTAL |
Entity Type | Organization |
Authorized Contact | TIMOTHY TANG NGO Owner/Dentist 505-821-5437 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NM DD4560) |
Enumeration Date | 2017-07-05 |
Last Update Date | 2020-02-06 |