| NPI | 1053772814 |
|---|---|
| Doing Business As | DENTAL JALISCO |
| Entity Type | Organization |
| Authorized Contact | ARTURO IBARRA Owner 323-260-7173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 31287) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |