| NPI | 1114418696 |
|---|---|
| Former Legal Business Name | ALMA BRISENO |
| Entity Type | Organization |
| Authorized Contact | ALMA BRISENO Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ZZ 9935295) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |