| NPI | 1215326392 |
|---|---|
| Doing Business As | CENTRAL PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HERAS QUINTERO Owner 619-400-3360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ZZ 4123556) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |