| NPI | 1164657128 |
|---|---|
| Doing Business As | CHULA VISTA PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | SUSAN NGUYEN Periodontist 619-425-9770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 48526) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |