NPI | 1033979430 |
---|---|
Doing Business As | ECCO DETNAL |
Entity Type | Organization |
Authorized Contact | GERMAN GUILLERMO JAQUEZ Dentist 626-771-0064 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-03-21 |
Last Update Date | 2024-04-05 |