| NPI | 1013495381 |
|---|---|
| Former Legal Business Name | ANA ACOSTA |
| Entity Type | Organization |
| Authorized Contact | ANA ACOSTA Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 2563334) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |