B Joe Aday, DDS Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Las Cruces, NM

NPI

1376656637

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

1186 (NM)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-17

Last updated

2007-07-08