| NPI | 1174064737 |
|---|---|
| Doing Business As | FILADELFIA |
| Entity Type | Organization |
| Authorized Contact | EZEQUIEL ANDRADE Dentist 619-730-0171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 7593792) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |