| NPI | 1205318425 | 
|---|---|
| Former Legal Business Name | VERONICA URETA | 
| Entity Type | Organization | 
| Authorized Contact | VERONICA URETA Dentist 619-488-3200  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 7377955)  | 
| Enumeration Date | 2018-09-04 | 
| Last Update Date | 2018-09-04 |