| NPI | 1174064216 |
|---|---|
| Doing Business As | JOSE LUIS ROMAN DDS |
| Entity Type | Organization |
| Authorized Contact | JOSE LUIS ROMAN Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 7578373) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |