| NPI | 1013739143 |
|---|---|
| Doing Business As | JURICH DENTAL BUENA VISTA |
| Entity Type | Organization |
| Authorized Contact | MELANIE RODRIGUEZ Front Office 210-227-9921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |