| NPI | 1073236667 |
|---|---|
| Other Name | MEJIA DENTAL |
| Entity Type | Organization |
| Authorized Contact | LESLIE FABIOLA GONZALEZ VEGA Dentist 619-586-3847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-11-16 |