| NPI | 1225539521 |
|---|---|
| Former Legal Business Name | MARIA DEL CARMEN |
| Entity Type | Organization |
| Authorized Contact | MARIA DEL CARMEN Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 3213516) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |