| 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 |