NPI | 1043789100 |
---|---|
Former Legal Business Name | KARINA ROSALES |
Entity Type | Organization |
Authorized Contact | KARINA ROSALES Dentist 619-488-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-11-19 |
Last Update Date | 2018-11-19 |