| NPI | 1164791604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO RAMOS Biller 619-992-6290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: ZZ 1127528) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |