NPI | 1154132223 |
---|---|
Doing Business As | CENTRO DE ORTODONCIA Y DENTAL |
Entity Type | Organization |
Authorized Contact | CARLOS OMAR ARBALLO DURAN Provider 619-308-7928 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2025-01-16 |
Last Update Date | 2025-01-16 |