| NPI | 1184516940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA ALEJANDRA BARAJAS MEJIA Provider 619-272-9021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |