| NPI | 1093475212 |
|---|---|
| Doing Business As | CRESTA BELLA DENTAL AND BRACES |
| Entity Type | Organization |
| Authorized Contact | DAVE GOLDWYN JEQUINTO Owner/Dentist 210-598-6002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2021-12-29 |