| NPI | 1194885608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHAFIR J PETROS Dentist 619-283-2093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47154) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |