| NPI | 1144599770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO RAMOS Manager 619-992-6290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: ZZ 5175180) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |