SERGIO IVAN QUINTANILLA ENCISO

TIJUANA, BAJA CALIFORNIA
NPI1164880373
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ZZ  302410)
Enumeration Date2016-02-02
Last Update Date2016-02-02
Business Address
Mr. SERGIO IVAN QUINTANILLA ENCISO D.D.S.
CALLE JOSE MA. VELAZCO 2613-203 ZONA RIO
TIJUANA, BAJA CALIFORNIA 22320
Phone number: 01152664-634-7018
Mailing Address
Mr. SERGIO IVAN QUINTANILLA ENCISO D.D.S.
4364 BONITA RD #233
BONITA, CA 91902-1421
Phone number: