| NPI | 1225526049 |
|---|---|
| Former Legal Business Name | BLANCA TERAN |
| Entity Type | Organization |
| Authorized Contact | BLANCA TERAN Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ZZ 1402832) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |