NPI | 1194381251 |
---|---|
Doing Business As | SAN MARCOS DENTAL STUDIO |
Entity Type | Organization |
Authorized Contact | BABAK SHAHROKH Owner 760-471-9560 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-05-14 |
Last Update Date | 2023-05-25 |