| NPI | 1144013467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DE LA LUZ BERNAL ALVAREZ Dentist 619-272-9021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-05-28 |