NPI | 1033621313 |
---|---|
Doing Business As | JUAN MANUEL ESTRADA DDS |
Entity Type | Organization |
Authorized Contact | JUAN MANUEL ESTRADA Dentista 658-517-7425 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: ZZ 6275817) |
Enumeration Date | 2017-10-26 |
Last Update Date | 2017-10-26 |