| NPI | 1063964674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MANUEL GARATE Owner/President 619-656-4199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 61023) |
| Enumeration Date | 2016-10-30 |
| Last Update Date | 2016-10-30 |