| NPI | 1225547540 |
|---|---|
| Doing Business As | JESUS IVAN GASPAR D.D.S |
| Entity Type | Organization |
| Authorized Contact | JESUS IVAN GASPAR Dentist 686-569-8372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 3409254) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-09-29 |