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 |