ELVIA HERNANDEZ BANUELOS

LOS ALGODONES, BAJA CALIFORNIA
NPI1194275115
Doing Business AsELVIA HERNANDEZ BANUELOS
Entity TypeOrganization
Authorized ContactELVIA HERNANDEZ BANUELOS
Dentist
602-774-4309
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: ZZ  2962838)
Enumeration Date2016-10-13
Last Update Date2016-10-13
Business Address
ELVIA HERNANDEZ BANUELOS
AVE A BETWWEN 2ND AND 3RD,
LOS ALGODONES, BAJA CALIFORNIA 21970
Phone number: 602-774-4309
Mailing Address
ELVIA HERNANDEZ BANUELOS
4275 EXECUTIVE SQ STE 200
LA JOLLA, CA 92037-9123
Phone number: 800-743-3900