| NPI | 1043745623 |
|---|---|
| Doing Business As | CRISTOBAL PORTUGAL DDS |
| Entity Type | Organization |
| Authorized Contact | CRISTOBAL PORTUGAL Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 2868480) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |